Individual
AIDAN BADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 S LEWIS RD, CAMARILLO, CA 93012-8520
(559) 240-9691
Mailing address
270 MIKE LOZA DR UNIT 111, CAMARILLO, CA 93012-8452
(559) 240-9691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225800000X
Recreation Therapist
Primary
85131
CA
Other
Enumeration date
03/26/2019
Last updated
01/09/2023
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