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1790257574
VIDAL VELEZ
ROSEVILLE, CA
NPI
1790257574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA D7918454)
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
VIDAL VELEZ
2151 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-3761
Phone number: 916-563-8049
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Mailing Address
VIDAL VELEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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