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1598401150
SHADY KEIVANNIA
ORANGE, CA
NPI
1598401150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 9495007838X0000)
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
SHADY KEIVANNIA
BEHAVIOR FRONTIERS, LLC 1100 W TOWN & COUNTRY RD, SUIT
ORANGE, CA 92868
Phone number: 949-357-2556
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Mailing Address
SHADY KEIVANNIA
BEHAVIOR FRONTIERS, LLC 1100 W TOWN & COUNTRY RD, SUITE 1250
ORANGE, CA 92868
Phone number: 949-357-2556
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