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1528797032
TIMOTHY CHAIDEZ
CERRITOS, CA
NPI
1528797032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
TIMOTHY CHAIDEZ
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703-2137
Phone number: 855-223-7123
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Mailing Address
TIMOTHY CHAIDEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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