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1306311071
LUKE DARRELL MAXWELL
SAN DIEGO, CA
NPI
1306311071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-18-67604)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
LUKE DARRELL MAXWELL
3731 6TH AVE STE 100
SAN DIEGO, CA 92103-4383
Phone number: 855-223-7123
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Mailing Address
LUKE DARRELL MAXWELL
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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