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1528834561
LIDIA BANUELOS-RIVERA
MONTCLAIR, CA
NPI
1528834561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
LIDIA BANUELOS-RIVERA
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763-2328
Phone number: 800-249-1266
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Mailing Address
LIDIA BANUELOS-RIVERA
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number:
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