Individual
AMBER MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
50 N HILL AVE STE 100, PASADENA, CA 91106-1949
(714) 878-0374
Mailing address
50 N HILL AVE STE 100, PASADENA, CA 91106-1949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18593
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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