Individual
ALEXANDER BEJA PANFILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(858) 264-5858
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347188
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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