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Individual

KENJI YOSHINOBU HASEGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27990 SHERMAN RD, MENIFEE, CA 92585-9155
(951) 309-9135
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/30/2026
Last updated
05/14/2026
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