Most Relevant Information
Provider Data
| NPI Number: | 1003304163 |
| Provider Name: | SKYLER KIMBERLY GRUENER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | Y3924378 |
Most Important Dates
| Enumeration Date: | 04/24/2018 |
| Last Updated: | 04/24/2018 |
Provider Practice Location
12215 TELEGRAPH RD STE 111
SANTA FE SPRINGS
CA
906703344
Practice Location Phone/Fax
| Phone: | 5622528500 |
| Fax: | 0000000000 |
Provider Mailing Location
21600 OXNARD ST
WOODLAND HILLS
CA
913674976
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: | 0000000000 |