Individual
AMY DISHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(858) 598-2693
Mailing address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(858) 598-2693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8536
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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