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1215507934
ANGELIQUE ELLORIN
VIRGINIA BEACH, VA
NPI
1215507934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA RBT-21-172815)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
ANGELIQUE ELLORIN BS, RBT, QMHP-T
780 LYNNHAVEN PKWY STE 250
VIRGINIA BEACH, VA 23452-7332
Phone number: 757-301-9065
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Mailing Address
ANGELIQUE ELLORIN BS, RBT, QMHP-T
212 GOLDEN MAPLE DR
VIRGINIA BEACH, VA 23452-6778
Phone number: 757-705-1829
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