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1669005963
IAN ESCAMILLA
PASADENA, CA
NPI
1669005963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-02-15
Last Update Date
2021-02-16
Business Address
IAN ESCAMILLA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
IAN ESCAMILLA
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-543-2800
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