EDWIN REQUENO

NORTHRIDGE, CA
NPI1578114187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  Y8632042)
Enumeration Date2019-09-25
Last Update Date2019-09-25
Business Address
Mr. EDWIN REQUENO
9335 RESEDA BLVD STE 101
NORTHRIDGE, CA 91324-2968
Phone number: 818-960-0635
Mailing Address
Mr. EDWIN REQUENO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-6234