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1295465037
ELYSE LANG
SOUTHFIELD, MI
NPI
1295465037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI RBT-22-205465)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
ELYSE LANG Behavior Technician
30233 SOUTHFIELD RD STE 100
SOUTHFIELD, MI 48076-1362
Phone number: 800-273-4292
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Mailing Address
ELYSE LANG Behavior Technician
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 800-273-4292
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