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Len Licanda

Behavior Technician in San Marcos, CA. Individual provider (NPI-1).

NPI number1982181616
StatusActive
Last updated in NPPESJul 25, 2018

Details

NPI
1982181616
Entity type
Individual (NPI-1)
Name
Len Licanda
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2018
Last updated
Jul 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

334 Via Vera Cruz Ste 107
San Marcos, CA 92078-2637

Phone 760-304-5010

Mailing address

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

Phone 818-345-2345

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