Individual
BISIRAT YACOB HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
(800) 249-1266
Mailing address
1365 OHIO AVE, LONG BEACH, CA 90804-2400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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