Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | CA |
NPI | 1023519428 |
---|---|
Provider Name | Aurora Serrano |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | San Ramon, CA 94583-1728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2018 |
Last Update Date | 27/04/2021 |