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Individual

ALEX LIEBERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 91362-6797
(805) 379-3212
Mailing address
31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 91362-6797
(805) 379-3212

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-3589857
THE HOLMAN GROUP
Enumeration date
10/11/2017
Last updated
10/11/2017
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