Individual
ASTRA RUGLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, QASP
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Mailing address
18375 VENTURA BLVD # 205, TARZANA, CA 91356-4218
(818) 207-5977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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