Individual
BRENE BREANNA RESENDIZ BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 VIA VERA CRUZ STE 107, SAN MARCOS, CA 92078-2637
(760) 304-5010
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F6887874
CA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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