Randy Enciso
Behavior Analyst Rehabilitation Practitioner
5554 Reseda Blvd Ste 203
Tarzana
, California 91356-6212
Randy Enciso
Behavior Analyst Rehabilitation Practitioner
5554 Reseda Blvd Ste 203
Tarzana
, California 91356-6212
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About
Features
Specialties
- Behavior Analyst
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Randy Enciso
- 965 W Sierra Madre Ave Apt. #2
- Azusa, CA
- Zip : 91702-1836
- Phone :
Second Address
- Randy Enciso
- 5554 Reseda Blvd Ste 203
- Tarzana, CA
- Zip : 91356-6212
- Phone : (818) 705-5522
Reviews
FAQs
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What type of doctor is Randy Enciso
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Where is Randy Enciso ’s practice located?
What is Randy Enciso ’s gender?
Is Randy Enciso a sole practitioner?
Is Randy Enciso accepting new patients?
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Does Randy Enciso accept insurance?
Does Randy Enciso offers telemedicine?
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What is Randy Enciso ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-18-32353 | CA |
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1003139890 |
|---|---|
| Provider Name | Randy Enciso |
| First Address | Azusa, CA 91702-1836 |
| Second Address | Tarzana, CA 91356-6212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2010 |
| Last Update Date | 19/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.