Individual
ANNA GANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(818) 937-0882
(818) 937-0883
Mailing address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(818) 937-0882
(818) 937-0883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12259137
CA
106S00000X
Behavior Technician
00001251
CA
106S00000X
Behavior Technician
RBT-16-17377
CA
Other
Enumeration date
02/28/2018
Last updated
05/22/2023
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