Individual
BRENDA YESENIA REA SANTOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 E OLYMPIC BLVD FL 1, COMMERCE, CA 90022-5147
(323) 865-8355
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW129147
CA
106S00000X
Behavior Technician
1052500
CA
Other
Enumeration date
08/04/2020
Last updated
04/21/2025
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