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1790451268
IVANNA SAMANTHA ACOSTA
GARDENA, CA
NPI
1790451268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
IVANNA SAMANTHA ACOSTA MS
1515 W 190TH ST STE 300
GARDENA, CA 90248-4925
Phone number: 310-819-4523
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Mailing Address
IVANNA SAMANTHA ACOSTA MS
1515 W 190TH ST STE 300
GARDENA, CA 90248-4925
Phone number: 310-819-4523
Copy
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