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1619467461
SAM ROSS MICHAELS
ALEXANDRIA, VA
NPI
1619467461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NY 854735894)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
SAM ROSS MICHAELS
4875 EISENHOWER AVE STE 210
ALEXANDRIA, VA 22304-4833
Phone number: 571-290-0143
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Mailing Address
SAM ROSS MICHAELS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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