Individual
CRISTIAN GANDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9625 LOCHINVAR DR, PICO RIVERA, CA 90660
(323) 828-9551
(323) 978-6035
Mailing address
9625 LOCHINVAR DR, PICO RIVERA, CA 90660-3935
(323) 828-9551
(323) 978-6035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20678
CA
Other
Enumeration date
01/21/2016
Last updated
05/25/2018
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