Individual
ANDY VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6101 W CENTINELA AVE STE 380, CULVER CITY, CA 90230-6367
(310) 337-7827
Mailing address
4880 MARKET ST, VENTURA, CA 93003-7783
(805) 658-7827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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