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1366039661
MATTHEW CLARK
SAN DIEGO, CA
NPI
1366039661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-20-148807)
Enumeration Date
2020-12-21
Last Update Date
2021-10-05
Business Address
MATTHEW CLARK
5333 MISSION CENTER RD STE 110
SAN DIEGO, CA 92108-1347
Phone number: 855-223-7123
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Mailing Address
MATTHEW CLARK
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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