Individual
TRINA SUMODOBILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE 160TH AVE # 154, VANCOUVER, WA 98684-8911
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(818) 501-3615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23654
CA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/31/2016
Last updated
10/13/2022
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