Individual
BAILEY DEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 BOLSA AVE STE 105, HUNTINGTON BEACH, CA 92649-1060
(818) 241-6780
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
33778
CA
Other
Enumeration date
01/30/2018
Last updated
08/26/2022
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