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1770282949
SHANA BRANTLEY
VICTORVILLE, CA
NPI
1770282949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
SHANA BRANTLEY
15490 CIVIC DR STE 103
VICTORVILLE, CA 92392-2382
Phone number: 442-327-9172
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Mailing Address
SHANA BRANTLEY
16270 FOOTHILL BLVD APT D31
FONTANA, CA 92335-7418
Phone number:
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