Individual
MISS BRANDY NICOLE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2339 HOLDEN AVE, OCEANO, CA 93445-9128
(559) 313-9538
Mailing address
2339 HOLDEN AVE, OCEANO, CA 93445-9128
(559) 313-9538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622834
CA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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