SHEA THOMAS KILTY-LOMIBAO

ANAHEIM, CA
NPI1255012266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
SHEA THOMAS KILTY-LOMIBAO
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
Mailing Address
SHEA THOMAS KILTY-LOMIBAO
11713 AVON WAY APT 15
LOS ANGELES, CA 90066-7216
Phone number: