Individual
JARED CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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