Most Relevant Information
Provider Data
| NPI Number: | 1003206061 |
| Provider Name: | BLANCA HUIZAR |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2015 |
| Last Updated: | 08/24/2017 |
Provider Practice Location
760 MOUNTAIN VIEW ST
ALTADENA
CA
910014925
Practice Location Phone/Fax
| Phone: | 6267986793 |
| Fax: |
Provider Mailing Location
760 MOUNTAIN VIEW ST
ALTADENA
CA
910014925
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |