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1700557865
JORDAN LAVELL TRAVIS
DOWNEY, CA
NPI
1700557865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
JORDAN LAVELL TRAVIS
12432 BELLFLOWER BLVD
DOWNEY, CA 90242-2806
Phone number: 818-241-6780
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Mailing Address
JORDAN LAVELL TRAVIS
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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