Individual
AUTUMN MCCOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(714) 640-4459
Mailing address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
06/16/2019
Last updated
11/08/2022
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