Individual
CARA STEARNS ENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, BCBA
Contact information
Practice address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(818) 521-0114
Mailing address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(818) 937-0882
(818) 937-0883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3509
—
106H00000X
Marriage & Family Therapist
0116211
NM
106H00000X
Marriage & Family Therapist
MFC 32183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88578755
—
NM
05
—
GR8889095
—
CA
Enumeration date
11/02/2009
Last updated
01/18/2023
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