Individual
ALLISON MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 E COLORADO AVE, GLENDORA, CA 91740-4416
(661) 478-8740
Mailing address
454 E COLORADO AVE, GLENDORA, CA 91740-4416
(661) 478-8740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10021
CA
Other
Enumeration date
10/28/2014
Last updated
09/13/2016
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