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1245645340
BRANDON TIMOTHY GANN
PORTLAND, OR
NPI
1245645340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR 1-14-16526)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
Mr. BRANDON TIMOTHY GANN BCBA
7962 E BURNSIDE ST
PORTLAND, OR 97215-1547
Phone number: 208-819-5246
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Mailing Address
Mr. BRANDON TIMOTHY GANN BCBA
7962 E BURNSIDE ST
PORTLAND, OR 97215-1547
Phone number: 208-819-5246
Copy
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