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1912489154
BRANDON LONG
SAN FRANCISCO, CA
NPI
1912489154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
BRANDON LONG
795 FOLSOM ST FL 1
SAN FRANCISCO, CA 94107-4226
Phone number: 855-832-6727
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Mailing Address
BRANDON LONG
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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