Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy Enciso

Individual provider Rehabilitation Practitioner · NPI 1003139890

Randy Enciso is a Rehabilitation Practitioner in Tarzana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212
Phone: (818) 705-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-18-32353 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1003139890
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2010
Last updated in NPPESFebruary 19, 2019
Mailing address965 W Sierra Madre Ave, Apt. #2, Azusa, CA 91702-1836

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