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1861143281
MICHAEL MINA TACAWY
RIVERSIDE, CA
NPI
1861143281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-21-169102)
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
MICHAEL MINA TACAWY BA, RBT
525 TECHNOLOGY CT STE 101
RIVERSIDE, CA 92507-2181
Phone number: 951-317-5950
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Mailing Address
MICHAEL MINA TACAWY BA, RBT
6865 VENICE PL
RANCHO CUCAMONGA, CA 91701-8553
Phone number: 909-532-2219
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