BRUCE ELLIS BLACK

WOODBRIDGE, VA
NPI1891256491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2019-03-27
Last Update Date2019-03-27
Business Address
BRUCE ELLIS BLACK
12731 MARBLESTONE DR STE 101
WOODBRIDGE, VA 22192-8334
Phone number: 571-589-0201
Mailing Address
BRUCE ELLIS BLACK
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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