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1649000217
ADAM CLARK
WESTLAKE VILLAGE, CA
NPI
1649000217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
ADAM CLARK
2625 TOWNSGATE RD
WESTLAKE VILLAGE, CA 91361-5751
Phone number: 805-413-3009
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Mailing Address
ADAM CLARK
2947 KILAINE DR
SIMI VALLEY, CA 93063-2129
Phone number: 818-419-7329
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