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1831964873
LAVAILE CANNON
BURBANK, CA
NPI
1831964873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
LAVAILE CANNON
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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Mailing Address
LAVAILE CANNON
4719 VIEWRIDGE AVE STE 100
SAN DIEGO, CA 92123-1685
Phone number: 866-727-8274
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