Individual
ADAURE CELENE AMUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17037 CHATSWORTH ST, GRANADA HILLS, CA 91344-5825
(818) 655-0040
Mailing address
17037 CHATSWORTH ST, GRANADA HILLS, CA 91344-5825
(818) 655-0040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6715099
DRIVER LICENSE
CA
Enumeration date
09/02/2021
Last updated
06/03/2022
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