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1205342292
ADAM DEWATER
PORTLAND, OR
NPI
1205342292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-16-19744)
Enumeration Date
2017-12-28
Last Update Date
2019-12-17
Business Address
ADAM DEWATER RBT
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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Mailing Address
ADAM DEWATER RBT
11665 AVENA PL STE 204
SAN DIEGO, CA 92128-2428
Phone number:
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