Individual
ANDREA JEAN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
15841 DUNDALK LN, HUNTINGTON BEACH, CA 92647-3119
(714) 392-9901
(714) 515-6004
Mailing address
15841 DUNDALK LN, HUNTINGTON BEACH, CA 92647-3119
(714) 392-9901
(714) 515-6004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
09/06/2023
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