Individual
ABILENE VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5414 AVENIDA DE LOS ROBLES STE 102, VISALIA, CA 93291-5174
(818) 235-1414
Mailing address
7226 SEPULVEDA BLVD, VAN NUYS, CA 91405-2003
(818) 235-1414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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