Individual
DANIEL PAUL VAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 NE KELLY AVE STE 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
21800 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-3633
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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