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1558868588
ANDY PARK
SAN LEANDRO, CA
NPI
1558868588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-21-56691)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-04-06
Last Update Date
2021-12-21
Business Address
Mr. ANDY PARK BCBA
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578-2626
Phone number: 888-805-0759
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Mailing Address
Mr. ANDY PARK BCBA
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-4066
Phone number: 888-805-0759
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