Individual
BROOKE MARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 CHALONE DR, PALMDALE, CA 93552-5825
(661) 974-2283
Mailing address
4265 CHALONE DR, PALMDALE, CA 93552-5825
(661) 974-2283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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