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1700215217
JENNIFER LYNE CARRILLO
HUNTINGTON BEACH, CA
NPI
1700215217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-13-13534)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
JENNIFER LYNE CARRILLO BCBA
5762 BOLSA AVE SUITE 101
HUNTINGTON BEACH, CA 92649-1172
Phone number: 714-292-2322
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Mailing Address
JENNIFER LYNE CARRILLO BCBA
223 MARKETVIEW
IRVINE, CA 92602-1689
Phone number: 714-315-8871
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