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Individual

JULIANNE PELLIZZON EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
12395 LEWIS ST STE 102, GARDEN GROVE, CA 92840-4698
(760) 634-1125
Mailing address
12395 LEWIS ST STE 102, GARDEN GROVE, CA 92840-4698
(760) 634-1125

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
791665
CA
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
11/26/2020
Last updated
07/21/2026
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