Individual
ISABELLA RANE BOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 NW BUCKLIN HILL RD # 258, SILVERDALE, WA 98383-8514
(714) 773-0077
Mailing address
524 E IMPERIAL HWY # 124, BREA, CA 92821-8513
(714) 773-0077
(714) 773-0067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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