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1730658972
MICHAEL MANSOUR
BURBANK, CA
NPI
1730658972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-21-52313)
Enumeration Date
2018-11-16
Last Update Date
2021-12-22
Business Address
MICHAEL MANSOUR
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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Mailing Address
MICHAEL MANSOUR
6101 W CENTINELA AVE STE 380
CULVER CITY, CA 90230-6367
Phone number: 805-398-0525
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