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1386211761
TIMOTHY GRANADA
CERRITOS, CA
NPI
1386211761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-05
Last Update Date
2021-06-05
Business Address
TIMOTHY GRANADA
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703-2137
Phone number: 855-223-7123
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Mailing Address
TIMOTHY GRANADA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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