Individual
ASHA CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BROADWAY BLDG F, SANTA MONICA, CA 90404-3065
(516) 590-7575
Mailing address
2500 BROADWAY BLDG F, SANTA MONICA, CA 90404-3065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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