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1366910929
SHANTA DORSEY
MONTCLAIR, CA
NPI
1366910929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
SHANTA DORSEY MA
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763-2328
Phone number: 800-749-1965
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Mailing Address
SHANTA DORSEY MA
1154 E 36TH ST
SAN BERNARDINO, CA 92404-1812
Phone number:
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