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1811303340
MICHELLE MODRICH
BERKELEY, CA
NPI
1811303340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 11416372)
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
MICHELLE MODRICH
2560 9TH ST SUITE 220
BERKELEY, CA 94710-2500
Phone number: 510-665-9700
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Mailing Address
MICHELLE MODRICH
764 WALKER AVE 102
OAKLAND, CA 94610-2754
Phone number: 510-299-5264
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