Individual
MARTHA PAOLA DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 GARNET ST, IMPERIAL, CA 92251-2516
(760) 890-8681
Mailing address
629 GARNET ST, IMPERIAL, CA 92251-2516
(760) 890-8681
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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