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1679147649
JORGE L BAUTISTA
PASADENA, CA
NPI
1679147649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 106E00000X)
Enumeration Date
2021-05-14
Last Update Date
2022-10-05
Business Address
JORGE L BAUTISTA
200 E DEL MAR BLVD STE 112
PASADENA, CA 91105-2552
Phone number: 818-937-0882
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Mailing Address
JORGE L BAUTISTA
200 E DEL MAR BLVD STE 112
PASADENA, CA 91105-2552
Phone number: 818-937-0882
Copy
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