Randy Enciso

NPI #1003139890 in Tarzana, California

Provider Information

NPI Number: 1003139890
Entity Type: Individual
Name: Randy Enciso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 8, 2010
Last Updated: Feb 19, 2019

Practice Location

Address: 5554 RESEDA BLVD STE 203
City: Tarzana
State: California
ZIP Code: 91356-6212
Phone: (818) 705-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X
Behavior Analyst	103K00000X	Primary

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