Individual
EDUARDO BASUALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(248) 299-0030
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/19/2019
Last updated
02/02/2022
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