Individual
KARISSA ANGELICA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 24TH AVE UNIT 23, BAYSIDE, NY 11360-2219
(347) 321-4094
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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