Most Relevant Information
Provider Data
| NPI Number: | 1003349192 |
| Provider Name: | ROSALBA ROXANNE CAANDOY BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2017 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
1550 HOTEL CIR N
SUITE 270
SAN DIEGO
CA
921082901
Practice Location Phone/Fax
| Phone: | 6196921581 |
| Fax: | 6196921588 |
Provider Mailing Location
PO BOX 609001
SAN DIEGO
CA
921609001
Provider Mailing Phone/Fax
| Phone: | 6195284600 |
| Fax: | 6195284625 |