Individual
ANASTASIYA MOISEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15720 VENTURA BLVD STE 403, ENCINO, CA 91436-2997
(818) 788-2388
Mailing address
5550 SYLMAR AVE APT 5, SHERMAN OAKS, CA 91401-5138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
46-0508169
CA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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