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1538679592
PHILIP LYNN LICHTENBERGER
THOUSAND OAKS, CA
NPI
1538679592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-14-16111)
Enumeration Date
2017-10-04
Last Update Date
2018-03-17
Business Address
PHILIP LYNN LICHTENBERGER BCBA
1396 ROSELAWN AVE
THOUSAND OAKS, CA 91362-2031
Phone number: 805-443-5859
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Mailing Address
PHILIP LYNN LICHTENBERGER BCBA
1396 ROSELAWN AVE
THOUSAND OAKS, CA 91362-2031
Phone number: 805-443-5859
Copy
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