Individual
CAROLINE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4952 WARNER AVE STE 300, HUNTINGTON BEACH, CA 92649-5506
(714) 576-7455
(510) 373-1738
Mailing address
7226 SEPULVEDA BLVD, VAN NUYS, CA 91405-2003
(818) 235-1414
(818) 945-0827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70811
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/20/2017
Last updated
02/06/2024
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