Rudy Aguirre
Student in an Organized Health Care Education/Training Program in Van Nuys, CA. Individual provider (NPI-1).
NPI number1114464427
StatusActive
Last updated in NPPESDec 5, 2023
Details
- NPI
- 1114464427
- Entity type
- Individual (NPI-1)
- Name
- Rudy Aguirre
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2017
- Certification date
- Dec 5, 2023
- Last updated
- Dec 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
7226 Sepulveda BlvdVan Nuys, CA 91405-2003
Phone 818-235-1414 · Fax 818-945-0827
Mailing address
18860 Nordhoff StNorthridge, CA 91324-3811
Phone 818-855-1788
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