Individual
ADDISON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26720 YNEZ CT, TEMECULA, CA 92591-4659
(951) 813-4034
Mailing address
210 VENETIA WAY, OCEANSIDE, CA 92057-7655
(760) 637-9524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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