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1790168730
KEVIN MACABASCO
SAN DIEGO, CA
NPI
1790168730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-15-18665)
Enumeration Date
2015-07-08
Last Update Date
2017-11-28
Business Address
KEVIN MACABASCO BCBA
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123-1324
Phone number: 858-505-9083
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Mailing Address
KEVIN MACABASCO BCBA
1150 ZURICH DR
SAN DIEGO, CA 92154-2951
Phone number: 619-757-3932
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