Individual
BRUCE AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13921 YUKON AVE APT 108, HAWTHORNE, CA 90250-8125
(424) 207-6829
Mailing address
13921 YUKON AVE APT 108, HAWTHORNE, CA 90250-8125
(424) 207-6829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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