Individual
ADRIANA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 N INGLEWOOD AVE APT E, INGLEWOOD, CA 90302-7738
(323) 616-3993
Mailing address
6426 W 5TH ST, LOS ANGELES, CA 90048-4710
(818) 804-9219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2769968
ID
—
Enumeration date
02/10/2022
Last updated
07/21/2022
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