Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003206061 |
---|---|
Provider Name | Blanca Huizar |
First Address | Altadena, CA 91001-4925 |
Second Address | Altadena, CA 91001-4925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2015 |
Last Update Date | 24/08/2017 |