Individual
AUDREY PODRESOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 TERMINO AVE, BEHAVIORAL HEALTH UNIT, LONG BEACH, CA 90804-2104
(562) 498-1000
Mailing address
1720 TERMINO AVE, BEHAVIORAL HEALTH UNIT, LONG BEACH, CA 90804-2104
(562) 480-1087
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RN489283
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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