Individual
ANDREA OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
5140 N FRUIT AVE, FRESNO, CA 93711-3022
(559) 449-1059
Mailing address
2354 POWELL ST STE A, EMERYVILLE, CA 94608-1738
(510) 652-7445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28750
CA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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