Individual
ARYE HARTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
11665 AVENA PL, SUITE 204, SAN DIEGO, CA 92128-2421
(760) 349-4200
(760) 349-4200
Mailing address
11665 AVENA PL, SUITE 204, SAN DIEGO, CA 92128-2421
(760) 349-4200
(760) 349-4200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-23044
BACB
CA
Enumeration date
09/26/2016
Last updated
09/26/2016
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