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1376052092
BRANDON ALLEN MALLICOAT
SACRAMENTO, CA
NPI
1376052092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-15-09845)
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
BRANDON ALLEN MALLICOAT RBT
3031 C STREET
SACRAMENTO, CA 95816
Phone number: 916-422-2396
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Mailing Address
BRANDON ALLEN MALLICOAT RBT
3031 C ST
SACRAMENTO, CA 95816-3326
Phone number:
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