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1366169344
STACEY DYAN ORTIZ-MENDEZ
ENCINO, CA
NPI
1366169344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
STACEY DYAN ORTIZ-MENDEZ
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
STACEY DYAN ORTIZ-MENDEZ
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number:
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