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Individual

CIARRA LACEY FRYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(661) 233-7776
Mailing address
4259 MAXINE WAY, ACTON, CA 93510-1945
(661) 233-7776

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10127
CA

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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