Individual
CECILIA VIRGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12750 VENTURA BLVD STE 102, STUDIO CITY, CA 91604-2433
(818) 423-2215
Mailing address
12750 VENTURA BLVD STE 102, STUDIO CITY, CA 91604-2433
(818) 423-2215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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