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1477894251
DORE ANDREW WALLACE
ENCINO, CA
NPI
1477894251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-12-12251)
Enumeration Date
2013-03-04
Last Update Date
2013-03-04
Business Address
MR. DORE ANDREW WALLACE B.C.B.A
15720 VENTURA BLVD SUITE 403
ENCINO, CA 91436-2914
Phone number: 818-788-2388
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Mailing Address
MR. DORE ANDREW WALLACE B.C.B.A
15720 VENTURA BLVD SUITE 403
ENCINO, CA 91436-2914
Phone number: 818-788-2388
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