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1861865073
MARISSA BLANCO
SHERMAN OAKS, CA
NPI
1861865073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-15-18774)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- MARISSA BLANCO
13400 RIVERSIDE DR STE 209
SHERMAN OAKS, CA 91423-2545
Phone number: 661-254-7086
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Mailing Address
-- MARISSA BLANCO
28245 AVENUE CROCKER
VALENCIA, CA 91355-0940
Phone number: 661-254-7086
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