Individual
GENESIA T WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21800 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-3633
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NY
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
2202012438
VA
235Z00000X
Speech-Language Pathologist
SLP101263
MA
Other
Enumeration date
08/06/2019
Last updated
06/11/2026
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