Individual
MISS SHUNDALON DEMETRIC EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
624 COMMERCE AVE STE E, PALMDALE, CA 93551-3883
(661) 942-9135
Mailing address
624 COMMERCE AVE STE E, PALMDALE, CA 93551-3883
(661) 942-9135
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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