Marvin Glen Anderson JR., BA, QASP

NPI #1992264477 in Van Nuys, California

Provider Information

NPI Number: 1992264477
Entity Type: Individual
Name: Marvin Glen Anderson JR., BA, QASP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BA, QASP
Enumeration Date: Mar 14, 2019
Last Updated: Mar 14, 2019

Practice Location

Address: 7226 SEPULVEDA BLVD
City: Van Nuys
State: California
ZIP Code: 91405-2003
Phone: (818) 235-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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