Individual
BRENDAN GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
721 N VULCAN AVE, SUITE 208, ENCINITAS, CA 92024-2190
(760) 634-1125
(760) 634-1530
Mailing address
721 N VULCAN AVE, SUITE 208, ENCINITAS, CA 92024-2190
(760) 634-1125
(760) 634-1530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23323
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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