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Miranda N Assalley, BA

Behavior Technician in Westlake Village, CA. Individual provider (NPI-1).

NPI number1780257519
StatusActive
Last updated in NPPESJul 20, 2021

Details

NPI
1780257519
Entity type
Individual (NPI-1)
Name
Miranda N Assalley
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2021
Certification date
Jul 20, 2021
Last updated
Jul 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726

Phone 805-413-3009

Mailing address

2217 Brookfield Dr
Thousand Oaks, CA 91362-4600

Phone 805-914-8500

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