Individual
AMY TAYLOR CANDRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3300 BROADWAY, EUREKA, CA 95501-3809
(805) 550-0817
Mailing address
97 RAYIPA LN, TRINIDAD, CA 95570-9617
(805) 550-0817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30372
CA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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