Individual
MR. AVISHAI ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A B.C.B.A
Contact information
Practice address
15315 MAGNOLIA BLVD STE 428, SHERMAN OAKS, CA 91403-1177
(818) 605-7451
Mailing address
15315 MAGNOLIA BLVD STE 428, SHERMAN OAKS, CA 91403-1177
(818) 605-7451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40632
CA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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