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1912489063
JOSHUA VIDAL
PETALUMA, CA
NPI
1912489063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
JOSHUA VIDAL
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
JOSHUA VIDAL
701 BANCROFT WAY # 2
BERKELEY, CA 94710-2225
Phone number:
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