Individual
MS. ASHLEY ELIZABETH BENNETT GOLOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6360 WILSHIRE BLVD, SUITE 300, LOS ANGELES, CA 90048-5603
(323) 866-1880
Mailing address
6360 WILSHIRE BLVD, SUITE 300, LOS ANGELES, CA 90048-5603
(323) 866-1880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4260
CA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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