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1558905950
SHAHIN ADAM BAVARSAD
RIVERSIDE, CA
NPI
1558905950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
SHAHIN ADAM BAVARSAD BA
6809 INDIANA AVE
RIVERSIDE, CA 92506-4221
Phone number: 866-823-4283
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Mailing Address
SHAHIN ADAM BAVARSAD BA
10154 ASHFORD ST
RANCHO CUCAMONGA, CA 91730-3001
Phone number: 562-507-6861
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