Most Relevant Information
Provider Data
| NPI Number: | 1003487877 |
| Provider Name: | EDEN ASFAW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 07/02/2021 |
Provider Practice Location
1625 S ORANGE DR
LOS ANGELES
CA
900195315
Practice Location Phone/Fax
| Phone: | 3234204182 |
| Fax: |
Provider Mailing Location
1625 S ORANGE DR
LOS ANGELES
CA
900195315
Provider Mailing Phone/Fax
| Phone: | 3234204182 |
| Fax: |