Individual
CARLOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 FAIR OAKS AVE, SUITE 200, SOUTH PASADENA, CA 91030-2630
(323) 596-5429
Mailing address
625 FAIR OAKS AVE, SUITE 200, SOUTH PASADENA, CA 91030-2630
(323) 596-5429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16789
CA
Other
Enumeration date
09/11/2015
Last updated
05/11/2017
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