Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BACB224604 | CA |
NPI | 1003354937 |
---|---|
Provider Name | Ms. Brittany Pagano, Ms, Bcba |
First Address | Woodland Hills, CA 91364-3223 |
Second Address | Woodland Hills, CA 91364-3223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2017 |
Last Update Date | 11/02/2017 |