Individual
ANDREW SAN LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13901 AMARGOSA RD STE 2, VICTORVILLE, CA 92392-2409
(626) 945-1305
Mailing address
1340 CALLE CABALLERO, SAN DIMAS, CA 91773-4039
(909) 724-9073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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