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Miriam C Larson

Behavior Technician in Woodland Hills, CA. Individual provider (NPI-1).

NPI number1164099818
StatusActive
Last updated in NPPESJun 9, 2021

Details

NPI
1164099818
Entity type
Individual (NPI-1)
Name
Miriam C Larson
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2021
Certification date
Jun 9, 2021
Last updated
Jun 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

Mailing address

20259 Ventura Blvd Ste 259a
Woodland Hills, CA 91364-2551

Phone 747-249-1127

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