Individual
MISS ANIELLE AMANDA GOLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(650) 243-9849
Mailing address
112 DORADO TER, SAN FRANCISCO, CA 94112-1743
(415) 920-3578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
CA
Enumeration date
01/15/2019
Last updated
01/15/2019
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