Individual
CARRIE SUSA WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
5430 E ROSEBAY ST, LONG BEACH, CA 90808-3527
(562) 233-4899
Mailing address
5430 E ROSEBAY ST, LONG BEACH, CA 90808-3527
(562) 233-4899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7276
CA
Other
Enumeration date
04/20/2012
Last updated
08/27/2024
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