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1346855053
JACK ETHAN SAMATH
LOS ANGELES, CA
NPI
1346855053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-24-75204)
Enumeration Date
2020-09-10
Last Update Date
2024-09-27
Business Address
JACK ETHAN SAMATH
8616 LA TIJERA BLVD
LOS ANGELES, CA 90045-3944
Phone number: 805-490-6006
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Mailing Address
JACK ETHAN SAMATH
237 6TH AVE
VENICE, CA 90291-2601
Phone number: 408-386-4147
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