Individual
ANTHONY FAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2615 CA-1, SUITE #300, HERMOSA BEACH, CA 90254
(310) 406-1500
Mailing address
2120 W CRESTWOOD ST, RANCHO PALOS VERDES, CA 90275-1306
(310) 970-4409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB390963
CA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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