Individual
ANISSA LERUM GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S LAKE AVE STE 300, PASADENA, CA 91101-3009
(626) 432-7270
(323) 544-6475
Mailing address
3246 CANARY CT, ONTARIO, CA 91761-0339
(909) 241-8243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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