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1780350710
CRAIG STEVEN LAVALLEY
SAN MATEO, CA
NPI
1780350710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
CRAIG STEVEN LAVALLEY
1720 S AMPHLETT BLVD STE 110
SAN MATEO, CA 94402-2710
Phone number: 650-727-4601
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Mailing Address
CRAIG STEVEN LAVALLEY
1614 CAMPBELL ST APT 308
OAKLAND, CA 94607-1653
Phone number: 510-703-7526
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