Individual
OSARIEMEN RAYMOND EGUAVOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA: 1-21-53406
Contact information
Practice address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(909) 241-4247
Mailing address
11953 DOROTHY ST APT 3, LOS ANGELES, CA 90049-5310
(909) 241-4247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53406
CA
106E00000X
Assistant Behavior Analyst
0-20-11667
CA
106S00000X
Behavior Technician
00002434
CA
Other
Enumeration date
08/31/2020
Last updated
04/07/2025
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