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1366917247
MIRANDA BERGEN TASSIN
BATON ROUGE, LA
NPI
1366917247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-615)
Enumeration Date
2018-10-08
Last Update Date
2022-03-10
Business Address
MIRANDA BERGEN TASSIN M.Ed., LBA, BCBA
7932 SUMMA AVE STE B2
BATON ROUGE, LA 70809-3736
Phone number: 888-880-9270
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Mailing Address
MIRANDA BERGEN TASSIN M.Ed., LBA, BCBA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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