Keierra Anderson
Behavior Technician in Glendale, CA. Individual provider (NPI-1).
NPI number1083170955
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1083170955
- Entity type
- Individual (NPI-1)
- Name
- Keierra Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
206 N Jackson St Ste 202Glendale, CA 91206-4330
Phone 855-295-3276
Mailing address
206 N Jackson St Ste 202Glendale, CA 91206-4330
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