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1780256107
MICHAEL VIVENS
TUCSON, AZ
NPI
1780256107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AZ 1-21-49529)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
MICHAEL VIVENS BCBA
6369 E TANQUE VERDE RD STE 100
TUCSON, AZ 85715-3833
Phone number: 303-989-8169
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Mailing Address
MICHAEL VIVENS BCBA
390 UNION BLVD STE 300
LAKEWOOD, CO 80228-6514
Phone number: 303-989-8169
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