Individual
BETH PAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD MA BCBA
Contact information
Practice address
1423 LINDA SUE LN, ENCINITAS, CA 92024-2422
(917) 226-4353
Mailing address
340 S LEMON AVE # 5109, WALNUT, CA 91789-2706
(619) 980-3541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-09-3678
CA
Other
Enumeration date
08/07/2012
Last updated
04/13/2022
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