Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003575333 |
---|---|
Provider Name | Neda Delgosha |
First Address | Porter Ranch, CA 91326-3847 |
Second Address | Porter Ranch, CA 91326-3847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2021 |
Last Update Date | 14/12/2021 |