STEVEN LICON

EL CENTRO, CA
NPI1922761394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
STEVEN LICON 106S00000X
1802 N IMPERIAL AVE STE D130
EL CENTRO, CA 92243-1325
Phone number: 760-693-7617
Mailing Address
STEVEN LICON 106S00000X
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 185-583-2672
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