Individual
ANDREA WIJSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1942 EMBARCADERO, OAKLAND, CA 94606-5213
(510) 832-4383
(510) 550-1981
Mailing address
1942 EMBARCADERO, OAKLAND, CA 94606-5213
(510) 832-4383
(510) 550-1981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14403
CO
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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