Daisy Andrade Channell
Student in an Organized Health Care Education/Training Program in Van Nuys, CA. Individual provider (NPI-1).
NPI number1669032900
StatusActive
Last updated in NPPESMay 6, 2020
Details
- NPI
- 1669032900
- Entity type
- Individual (NPI-1)
- Name
- Daisy Andrade Channell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2019
- Certification date
- May 6, 2020
- Last updated
- May 6, 2020
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
14600 Sherman WaySuite 100 D
Van Nuys, CA 91405
Phone 818-374-6901
Mailing address
14600 Sherman WaySuite 100 D
Van Nuys, CA 91405
Phone 818-374-6901
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