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1801361910
IVELISSE BORRERO
POWAY, CA
NPI
1801361910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-22-58530)
Enumeration Date
2018-10-04
Last Update Date
2023-02-15
Business Address
IVELISSE BORRERO
13046 CREEK PARK DR
POWAY, CA 92064-5764
Phone number: 931-494-6474
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Mailing Address
IVELISSE BORRERO
13046 CREEK PARK DR
POWAY, CA 92064-5764
Phone number:
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