Individual
BLANCA CORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 W 74TH ST, LOS ANGELES, CA 90044-6117
(323) 605-3846
Mailing address
716 W 74TH ST, LOS ANGELES, CA 90044-6117
(323) 605-3846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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