Individual
AXEL IVAN INZUNZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2155 CHICAGO AVE STE 203, RIVERSIDE, CA 92507-2209
(951) 357-6926
(855) 568-2494
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46163
CA
106S00000X
Behavior Technician
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—
Other
Enumeration date
04/05/2018
Last updated
03/11/2021
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