Individual
ANASTASIA JADE FREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5967 W 3RD ST STE 200, LOS ANGELES, CA 90036-2835
(323) 745-5800
Mailing address
11115 AQUA VISTA ST APT 306, NORTH HOLLYWOOD, CA 91602-3722
(818) 428-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69924
CA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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