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1295383537
DERRICK LEWIS
MONTCLAIR, CA
NPI
1295383537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
DERRICK LEWIS
4950 SAN BERNARDINO ST STE 101
MONTCLAIR, CA 91763-2328
Phone number: 800-249-1266
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Mailing Address
DERRICK LEWIS
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
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