Individual
CHARLES SANTANA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
21241 VENTURA BLVD, WOODLAND HILLS, CA 91364-2108
(818) 203-5063
Mailing address
10053 AMBOY AVE, PACOIMA, CA 91331-3912
(818) 624-5058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46507
CA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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