BRAYDEN ERIC IMMEKUS

TWENTYNINE PALMS, CA
NPI1871204842
Former NameBRAYDEN ERIC ELLIS ATKINS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  22-241528)
Enumeration Date2022-12-09
Last Update Date2023-10-04
Business Address
BRAYDEN ERIC IMMEKUS
71566 FLORIDA DR
TWENTYNINE PALMS, CA 92277-4070
Phone number: 360-823-9925
Mailing Address
BRAYDEN ERIC IMMEKUS
71566 FLORIDA DR
TWENTYNINE PALMS, CA 92277-4070
Phone number: 360-823-9925
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