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1194481341
NELSON E FAVELA
MONTCLAIR, CA
NPI
1194481341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-13-14794)
Enumeration Date
2021-11-11
Last Update Date
2021-11-11
Business Address
NELSON E FAVELA
11024 SHETLAND AVE
MONTCLAIR, CA 91763-6124
Phone number: 909-957-8255
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Mailing Address
NELSON E FAVELA
12142 CENTRAL AVE # 151
CHINO, CA 91710-2420
Phone number: 909-957-8255
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