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1689145401
STACY BOWDISH
SANTA ROSA, CA
NPI
1689145401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-19-40103)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-12-06
Last Update Date
2020-11-03
Business Address
STACY BOWDISH MA
1335 N DUTTON AVE
SANTA ROSA, CA 95401-4609
Phone number: 855-223-7123
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Mailing Address
STACY BOWDISH MA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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