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Individual

ANDRES RICARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9335 RESEDA BLVD STE 101, NORTHRIDGE, CA 91324-2968
(818) 960-0634
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25292
CA
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/20/2013
Last updated
12/04/2018
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