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1972218618
ETHAN HUMPHREYS
PETALUMA, CA
NPI
1972218618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
ETHAN HUMPHREYS
1425 N MCDOWELL BLVD STE 206
PETALUMA, CA 94954-6525
Phone number: 855-223-7123
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Mailing Address
ETHAN HUMPHREYS
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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