Individual
ANNA JULIA INGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18934 SYLVAN ST, TARZANA, CA 91335-6735
(818) 636-4654
Mailing address
18934 SYLVAN ST, TARZANA, CA 91335-6735
(818) 636-4654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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