Individual
AIDEN ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 TOWNSGATE RD STE 102, THOUSAND OAKS, CA 91361-5726
(805) 413-3009
Mailing address
7722 CAPISTRANO AVE, WEST HILLS, CA 91304-5404
(818) 317-5636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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