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Desiree Dominique Bueno

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

NPI number1669258331
StatusActive
Last updated in NPPESApr 28, 2026

Details

NPI
1669258331
Entity type
Individual (NPI-1)
Name
Desiree Dominique Bueno
Sex
Female
Sole proprietor
No
Enumeration date
Sep 7, 2023
Certification date
Apr 28, 2026
Last updated
Apr 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875

Phone 818-235-1414

Mailing address

16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875

Phone 818-235-1414

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