Individual
CHARISSE REGINA PALAAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
400 W VENTURA BLVD STE 230, CAMARILLO, CA 93010-9142
(858) 264-5858
Mailing address
400 W VENTURA BLVD STE 230, CAMARILLO, CA 93010-9142
(858) 264-5858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45153
CA
106S00000X
Behavior Technician
RBT-17-40802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-3589857
THE HOLMAN GROUP
—
Enumeration date
10/03/2017
Last updated
10/08/2020
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