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1376371211
SAMANTHA WADE
SAN DIEGO, CA
NPI
1376371211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-24-354633)
Enumeration Date
2024-07-23
Last Update Date
2024-07-31
Business Address
SAMANTHA WADE
9685 VIA EXCELENCIA STE 102
SAN DIEGO, CA 92126-7500
Phone number: 619-369-5050
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Mailing Address
SAMANTHA WADE
15106 DOVE CREEK RD
SAN DIEGO, CA 92127-4436
Phone number: 858-926-6600
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