Individual
ALLE ELIZABETH ENGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5620 BIRDCAGE ST STE 230, CITRUS HEIGHTS, CA 95610-7632
(510) 679-3545
Mailing address
1300 MILANO DR UNIT 2, WEST SACRAMENTO, CA 95691-6029
(530) 209-4940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41336
CA
Other
Enumeration date
05/18/2018
Last updated
03/06/2020
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