Individual
ALAN D PANAMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
6355 TOPANGA CANYON BLVD STE 309, WOODLAND HILLS, CA 91367-2132
(818) 650-1901
(855) 568-2494
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
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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