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Organization
SHORELINE ABA
Active
Organization
SHORELINE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L EVANS MS, BCBA (EXECUTIVE DIRECTOR / OWNER)
(805) 341-9214
Entity
Organization
Contact information
Practice address
377 BLUE DOLPHIN DR, PORT HUENEME, CA 93041-3537
(805) 341-9214
Mailing address
377 BLUE DOLPHIN DR, PORT HUENEME, CA 93041-3537
(805) 341-9214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
08/01/2016
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