Individual
ANDREA DE LA TORRE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 SHAWNEE RD, ALEXANDRIA, VA 22312-2300
(703) 750-0633
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D436067676777
MD
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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