Individual
AIDEE VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21515 HAWTHORNE BLVD STE GL-100, TORRANCE, CA 90503-6501
(424) 571-2618
Mailing address
21515 HAWTHORNE BLVD STE GL-100, TORRANCE, CA 90503-6501
(424) 571-2618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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