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Ann Leventen Derentz, BCBA

Behavior Analyst in Pleasanton, CA. Individual provider (NPI-1).

NPI number1891252003
StatusActive
Last updated in NPPESFeb 24, 2019

Details

NPI
1891252003
Entity type
Individual (NPI-1)
Name
Ann Leventen Derentz
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 24, 2019
Last updated
Feb 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-18-33706CAYes

Practice location

5111 Johnson Dr
Pleasanton, CA 94588-3343

Phone 925-596-7000

Mailing address

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

Phone 818-345-2345

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