Individual
BROOKELYN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 W ROSE HILL ST, BOISE, ID 83705-1651
(805) 230-3701
(805) 823-4462
Mailing address
30343 CANWOOD ST STE 100, AGOURA HILLS, CA 91301-4328
(805) 230-3701
(805) 823-4462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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