Individual
SANDRA SAMADHY QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N 8TH ST FL 3, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
202 N 8TH ST FL 3, EL CENTRO, CA 92243-2302
(442) 265-1525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
06/09/2022
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