Individual
EGBERT BALANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 CAPRA DR, AMERICAN CANYON, CA 94503-1318
(707) 704-9493
Mailing address
713 CAPRA DR, AMERICAN CANYON, CA 94503-1318
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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