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1225480346
JOSE EDUARDO VICENTE CANDELARIO
MODESTO, CA
NPI
1225480346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 11937992)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2016-07-13
Last Update Date
2022-08-05
Business Address
JOSE EDUARDO VICENTE CANDELARIO MS
2100 STANDIFORD AVE STE 12-180
MODESTO, CA 95350-6522
Phone number: 855-832-6727
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Mailing Address
JOSE EDUARDO VICENTE CANDELARIO MS
1131 COLORADO AVE APT 101
TURLOCK, CA 95380-2700
Phone number: 760-905-2479
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