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1194575753
BLAINE VILLARREAL
SAN DIEGO, CA
NPI
1194575753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA RBT-24-336646)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
BLAINE VILLARREAL
3878 RUFFIN RD
SAN DIEGO, CA 92123-1842
Phone number: 619-795-9925
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Mailing Address
BLAINE VILLARREAL
1989 EDISON CT
CHULA VISTA, CA 91915-1459
Phone number:
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