Individual
MCKENNA ANNE GREENLEAF FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
50 N HILL AVE STE 100, PASADENA, CA 91106
(626) 793-7700
Mailing address
1994 LUCILE AVE, LOS ANGELES, CA 90039
(323) 313-3596
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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