Individual
ANDREA LAUREN EXCELLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 W OLYMPIC BLVD STE 140E, LOS ANGELES, CA 90064-5807
(424) 320-3134
Mailing address
5849 CROCKER ST LOS ANGELES, LOS ANGELES, CA 90003
(323) 432-4399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/12/2018
Last updated
11/01/2021
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