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1649874363
BRENT ANTHONY JOHNSON
HUNTINGTON BEACH, CA
NPI
1649874363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
BRENT ANTHONY JOHNSON
4952 WARNER AVE STE 300
HUNTINGTON BEACH, CA 92649-5506
Phone number: 714-587-9007
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Mailing Address
BRENT ANTHONY JOHNSON
15507 S NORMANDIE AVE # 260
GARDENA, CA 90247-4013
Phone number:
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