Individual
ANSLEY HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27427 SIERRA MADRE DR, MURRIETA, CA 92563-4861
(951) 852-0909
Mailing address
27268 VIA INDUSTRIA, TEMECULA, CA 92590-3751
(951) 265-6504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24207
CA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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