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1568976843
JULISSA IVELISE LOPEZ CORREA
CAMERON, NC
NPI
1568976843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: 8744)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2017-11-25
Last Update Date
2021-04-28
Business Address
JULISSA IVELISE LOPEZ CORREA
185 MITTIE HADDOCK DR
CAMERON, NC 28326-9379
Phone number: 386-717-9131
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Mailing Address
JULISSA IVELISE LOPEZ CORREA
316 MID VALLEY CTR # 186
CARMEL, CA 93923-8516
Phone number: 800-991-6070
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