Individual
ALISA GRACE VAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5435 BALBOA BLVD STE 202, ENCINO, CA 91316-1570
(310) 933-4499
(310) 933-4134
Mailing address
5435 BALBOA BLVD STE 202, ENCINO, CA 91316-1570
(818) 501-3615
(818) 501-3649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23264
CA
Other
Enumeration date
10/21/2016
Last updated
10/24/2022
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