Edara-Divine Attah
Edara-Divine Attah is a Behavior Technician in Gardena, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1515 W 190th St Ste 300Gardena, CA 90248-4925
Phone: (310) 819-4523
Fax: (877) 394-6799
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1083499859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 1515 W 190th St Ste 300, Gardena, CA 90248-4925 |
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