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1316536717
ALISSA BROOK BURG
PHOENIX, AZ
NPI
1316536717
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Former Name
ALISSA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ D06686009)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
ALISSA BROOK BURG
2400 W DUNLAP AVE STE 100
PHOENIX, AZ 85021-2813
Phone number: 602-325-2485
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Mailing Address
ALISSA BROOK BURG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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