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Organization
SAN DIEGO APPLIED BEHAVIOR ANALYSIS , LLC
Active
Organization
SAN DIEGO APPLIED BEHAVIOR ANALYSIS , LLC
Active
Other names
San Diego Applied Behavior Analysis
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA DOLAN (CREDENTIALING SUPERVISOR)
(951) 259-4060
Entity
Organization
Contact information
Practice address
4700 SPRING STREET SUITE 104, LA MESA, CA 91942
(619) 782-0700
(619) 782-0710
Mailing address
8030 LA MESA BLVD STE 25, LA MESA, CA 91942-0335
(619) 782-0700
(619) 782-0710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
07/10/2026
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