Mr. Edwin Requeno
Mr. Edwin Requeno is a Behavior Technician in Northridge, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
9335 Reseda Blvd Ste 101Northridge, CA 91324-2968
Phone: (818) 960-0635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence Y8632042 (CA) |
|---|
Record details
| NPI number | 1578114187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 25, 2019 |
| Last updated in NPPES | September 25, 2019 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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