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1407488281
ELYSA BROOKE BASQUEZ
SANTA ANA, CA
NPI
1407488281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
Ms. ELYSA BROOKE BASQUEZ
3700 S SUSAN ST STE 120
SANTA ANA, CA 92704-7935
Phone number: 657-245-0220
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Mailing Address
Ms. ELYSA BROOKE BASQUEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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