Individual
LUAM WOLDEYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9620 CHESAPEAKE DR, SAN DIEGO, CA 92123-1369
(949) 306-7558
Mailing address
9620 CHESAPEAKE DR, SAN DIEGO, CA 92123-1369
(619) 622-4842
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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