Individual
AYSA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1909 PELHAM AVE UNIT 104, LOS ANGELES, CA 90025-5842
(805) 291-2130
Mailing address
1909 PELHAM AVE UNIT 104, LOS ANGELES, CA 90025-5842
(805) 291-2130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12189
CA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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