GAGE FORTNEY-HENRIQUEZ

LOS ANGELES, CA
NPI1396361069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-24-73974)
Enumeration Date2020-06-18
Last Update Date2024-07-03
Business Address
GAGE FORTNEY-HENRIQUEZ
3031 BEVERLY BLVD
LOS ANGELES, CA 90057-1013
Phone number: 323-644-9380
Mailing Address
GAGE FORTNEY-HENRIQUEZ
3031 BEVERLY BLVD
LOS ANGELES, CA 90057-1013
Phone number: 323-644-9380