STEPHANIE NICOLE LAKE

SAN JOSE, CA
NPI1548735905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-18-67225)
Enumeration Date2018-10-11
Last Update Date2018-10-11
Business Address
STEPHANIE NICOLE LAKE
1887 MONTEREY HWY STE 225
SAN JOSE, CA 95112-6192
Phone number: 855-223-7123
Mailing Address
STEPHANIE NICOLE LAKE
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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