Individual
HEATHER HETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. BCBA
Contact information
Practice address
12626 RIVERSIDE DR STE 409, VALLEY VILLAGE, CA 91607-3451
(818) 661-6306
Mailing address
12626 RIVERSIDE DR STE 409, VALLEY VILLAGE, CA 91607-3451
(818) 661-6306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-11-4333
CA
103T00000X
Psychologist
PSY35580
CA
103TC0700X
Clinical Psychologist
Primary
PSY35580
CA
Other
Enumeration date
02/22/2012
Last updated
02/04/2025
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