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Individual

LU SHIBLI I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
424 PENINSULA AVENUE, BURLINGAME, CA 94401
(650) 286-4396
Mailing address
1452 CORTEZ AVE, BURLINGAME, CA 94010
(650) 766-5799

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
103K0000X - BEHAVIOR
CA

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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