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1265903504
WYATT JAMES ANNALA
SAN DIEGO, CA
NPI
1265903504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-12-16
Last Update Date
2024-09-04
Business Address
WYATT JAMES ANNALA
5333 MISSION CENTER RD STE 110
SAN DIEGO, CA 92108-1347
Phone number: 855-223-7123
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Mailing Address
WYATT JAMES ANNALA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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