| Seeds | |
|
17807 Cantara St Reseda CA 91335-1516 | |
| (818) 527-2230 | |
| (818) 322-1334 |
| Full Name | Seeds |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17807 Cantara St, Reseda, California |
| Authorized Official Name and Position | Shawna Janelle Wilson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5626827697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds 17807 Cantara St Reseda CA 91335-1516 Ph: (818) 527-2230 | Seeds 17807 Cantara St Reseda CA 91335-1516 Ph: (818) 527-2230 |
| NPI Number | 1487063483 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487063483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1107000 (California) | Primary |
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