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Individual provider · Behavior Analyst · Huntington Beach, CA

NPI
1437702545
Type
Individual (Type 1)
Primary specialty
Behavior Analyst
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103K00000X
License number
1-18-31839 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2019-07-17
Last updated
2019-07-17
Practice location
5312 Bolsa Ave Ste 105
Huntington Beach, CA 92649-1060
(714) 965-2324

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