Individual
ANNE NAKAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
788 EUREKA AVE, LODI, CA 95240-0906
(209) 747-7517
(209) 747-7517
Mailing address
788 EUREKA AVE, LODI, CA 95240-0906
(209) 747-7517
(209) 747-7517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19392
CA
Other
Enumeration date
10/13/2015
Last updated
08/01/2016
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