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1487236790
DERECK ALEXANDER BENAVIDES
ORANGE, CA
NPI
1487236790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
DERECK ALEXANDER BENAVIDES BS
3111 N TUSTIN ST STE 100
ORANGE, CA 92865-1751
Phone number: 818-241-6780
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Mailing Address
DERECK ALEXANDER BENAVIDES BS
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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