ANNALISE ELIZABETH BASCOM

HAYWARD, CA
NPI1417519612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
ANNALISE ELIZABETH BASCOM
22283 MAIN ST
HAYWARD, CA 94541-4004
Phone number: 800-249-1266
Mailing Address
ANNALISE ELIZABETH BASCOM
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
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