Idahly Sandoval

NPI #1043818362 in Van Nuys, California

Provider Information

NPI Number: 1043818362
Entity Type: Individual
Name: Idahly Sandoval
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2020
Last Updated: Sep 6, 2024

Practice Location

Address: 16360 ROSCOE BLVD STE 100
City: Van Nuys
State: California
ZIP Code: 91406-1206
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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