Individual
CHRISTINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
16530 VENTURA BLVD STE 510, ENCINO, CA 91436-4504
(818) 582-2200
Mailing address
7323 OWENSMOUTH AVE, CANOGA PARK, CA 91303-1321
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-24993
CA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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