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1881100139
TAMARYN PETERSEN
CLACKAMAS, OR
NPI
1881100139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10187692)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
TAMARYN PETERSEN
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015-7903
Phone number: 971-206-6337
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Mailing Address
TAMARYN PETERSEN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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