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1417464249
PRINCESS KNIGHT PEGRAM
AIEA, HI
NPI
1417464249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: HI BA-717)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-01-02
Last Update Date
2023-03-31
Business Address
PRINCESS KNIGHT PEGRAM BCBA, LBA
98-2009 KAAHUMANU ST APT J
AIEA, HI 96701-1896
Phone number: 808-452-1464
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Mailing Address
PRINCESS KNIGHT PEGRAM BCBA, LBA
3702 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1893
Phone number: 619-297-4300
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