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1578935409
SUSAN BLACK
CERRITOS, CA
NPI
1578935409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-15-19264)
Enumeration Date
2015-10-30
Last Update Date
2020-11-13
Business Address
SUSAN BLACK BCBA
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703-2137
Phone number: 562-760-4429
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Mailing Address
SUSAN BLACK BCBA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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