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1689410979
TIMOTHY VINCENT CHAVEZ
THOUSAND OAKS, CA
NPI
1689410979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
TIMOTHY VINCENT CHAVEZ
2625 TOWNSGATE RD
THOUSAND OAKS, CA 91361-5751
Phone number: 805-422-2029
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Mailing Address
TIMOTHY VINCENT CHAVEZ
2625 TOWNSGATE RD
THOUSAND OAKS, CA 91361-5751
Phone number: 805-413-3009
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