Individual
SOPHIA ZENZELE BRAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(714) 834-1111
Mailing address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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