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Edgardo Magana

Behavior Technician in Van Nuys, CA. Individual provider (NPI-1).

NPI number1366017444
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1366017444
Entity type
Individual (NPI-1)
Name
Edgardo Magana
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2021
Certification date
May 21, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7226 Sepulveda Blvd
Van Nuys, CA 91405-2003

Phone 818-235-1414

Mailing address

7226 Sepulveda Blvd
Van Nuys, CA 91405-2003

Phone 818-235-1414

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