Individual
MR. BRANDON KODY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
20101 HAMILTON AVE STE 100, TORRANCE, CA 90502-1351
(310) 527-7300
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59136
CA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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