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1629579834
KENNIYA FAIRLEY
HUNTINGTON BEACH, CA
NPI
1629579834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-22
Last Update Date
2024-08-29
Business Address
KENNIYA FAIRLEY
5762 BOLSA AVE STE 101
HUNTINGTON BEACH, CA 92649-1172
Phone number: 714-292-2322
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Mailing Address
KENNIYA FAIRLEY
1360 S FIGUEROA ST APT 324
LOS ANGELES, CA 90015-2883
Phone number: 562-661-0190
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