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1992264899
BRENDA VILLAVICENCIO
LANCASTER, CA
NPI
1992264899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
BRENDA VILLAVICENCIO
1216 W AVENUE J STE 100
LANCASTER, CA 93534-2944
Phone number: 818-235-1414
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Mailing Address
BRENDA VILLAVICENCIO
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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