Individual
ELIZABETH PINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2708 MANHATTAN BEACH BLVD, GARDENA, CA 90249-4532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
08/31/2021
Last updated
06/18/2024
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