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1417212549
SCOTT KELLEN CARL
GARDEN GROVE, CA
NPI
1417212549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-12-11824)
Enumeration Date
2012-07-04
Last Update Date
2012-07-05
Business Address
Mr. SCOTT KELLEN CARL BCBA
12443 LEWIS ST STE 201
GARDEN GROVE, CA 92840-4650
Phone number: 714-748-4440
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Mailing Address
Mr. SCOTT KELLEN CARL BCBA
17853 SANTIAGO BLVD STE # 107329
VILLA PARK, CA 92861-4113
Phone number: 714-748-4440
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