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1306360805
JUSTIN ELIZALDE
GARDEN GROVE, CA
NPI
1306360805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-19-37279)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-07-27
Last Update Date
2022-07-21
Business Address
JUSTIN ELIZALDE
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840-4658
Phone number: 949-833-2237
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Mailing Address
JUSTIN ELIZALDE
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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