Individual
ADNANE HARBOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352
(818) 582-8832
Mailing address
441 RIVERDALE DR APT 205, GLENDALE, CA 91204-1501
(818) 478-8133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
01/27/2021
Last updated
08/20/2021
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