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Individual

BAILEY SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27349 JEFFERSON AVE STE 204, TEMECULA, CA 92590-5612
(951) 466-3032
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
(310) 856-0800
(855) 568-2494

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68073
CA
106S00000X
Behavior Technician

Other

Enumeration date
10/01/2019
Last updated
09/29/2023
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