Susan Black, BCBA

NPI #1578935409 in Cerritos, California

Provider Information

NPI Number: 1578935409
Entity Type: Individual
Name: Susan Black, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Oct 30, 2015
Last Updated: Nov 13, 2020

Practice Location

Address: 12604 HIDDENCREEK WAY STE C
City: Cerritos
State: California
ZIP Code: 90703-2137
Phone: (562) 760-4429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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