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1972010528
DANIEL LUNDBERG
PORTLAND, OR
NPI
1972010528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10182795)
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
DANIEL LUNDBERG
125 NE 102ND AVE
PORTLAND, OR 97220-4166
Phone number: 503-254-6317
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Mailing Address
DANIEL LUNDBERG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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