BAILEY BORUP

SANTA MONICA, CA
NPI1316433931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  105149)
Additional Taxonomies103K00000X Behavior Analyst
390200000X Student in an Organized Health Care Education/Training Program
247200000X Technician, Other
Enumeration Date2018-07-06
Last Update Date2025-09-16
Business Address
-- BAILEY BORUP
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
Mailing Address
-- BAILEY BORUP
139 MACADEMIA LN
SIMI VALLEY, CA 93065-6914
Phone number: