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1588079669
ANTHONY PAVLACKA
SAN DIEGO, CA
NPI
1588079669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-14-16101)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- ANTHONY PAVLACKA BCBA
9445 FARNHAM ST #104
SAN DIEGO, CA 92123-1308
Phone number: 858-598-2693
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Mailing Address
-- ANTHONY PAVLACKA BCBA
9445 FARNHAM ST #104
SAN DIEGO, CA 92123-1308
Phone number: 858-598-2693
Copy
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