Individual
AIDEN L SHANDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 W COMMONWEALTH AVE STE C, FULLERTON, CA 92832-1612
(714) 879-4274
Mailing address
3764 CEDAR AVE, LONG BEACH, CA 90807-3254
(562) 756-0962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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