Individual
AMY J MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
625 PENNSYLVANIA AVE, SAN DIEGO, CA 92103-4321
(858) 603-6628
Mailing address
3136 VANCOUVER AVE, SAN DIEGO, CA 92104-4835
(615) 330-6415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10466
CA
Other
Enumeration date
04/05/2012
Last updated
05/10/2016
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