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1730843913
ILENE N/A BATISTA
COSTA MESA, CA
NPI
1730843913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
ILENE N/A BATISTA
1520 NUTMEG PL
COSTA MESA, CA 92626-2501
Phone number: 714-751-8110
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Mailing Address
ILENE N/A BATISTA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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