Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41542 | CA |
NPI | 1003435686 |
---|---|
Provider Name | Denise Oh |
First Address | Long Beach, CA 90802-5511 |
Second Address | Downey, CA 90242-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2020 |
Last Update Date | 13/04/2020 |