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1417481094
KENNETH BURG
ANAHEIM, CA
NPI
1417481094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-17-25696)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
KENNETH BURG BCBA
2115 W CRESCENT AVE #224
ANAHEIM, CA 92801-3809
Phone number: 714-829-4138
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Mailing Address
KENNETH BURG BCBA
2115 W CRESCENT AVE #224
ANAHEIM, CA 92801-3809
Phone number: 714-829-4138
Copy
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