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1578193488
CHRISTIAN WHITEBREAD
PHILADELPHIA, PA
NPI
1578193488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA 1-18-30608)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
CHRISTIAN WHITEBREAD BCBA
413 FAIRMOUNT AVE STE 1
PHILADELPHIA, PA 19123-2872
Phone number: 267-908-7772
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Mailing Address
CHRISTIAN WHITEBREAD BCBA
4055 RIDGE AVE APT 7306
PHILADELPHIA, PA 19129-1594
Phone number: 570-956-9470
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