Individual
AIMEE SONGCO SONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 W 190TH ST STE 300, GARDENA, CA 90248-4925
(310) 819-4523
(877) 394-6799
Mailing address
1515 W 190TH ST STE 300, GARDENA, CA 90248-4925
(310) 819-4523
(877) 394-6799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679506398
—
CA
Enumeration date
12/22/2022
Last updated
12/22/2022
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