NPI 1003139890

Randy Enciso

Practitioner Behavior Analyst Tarzana, CA

Practice location

Address: 5554 Reseda Blvd STE 203, Tarzana, CA 91356-6212
Phone: (818) 705-5522
Mailing address: 965 W Sierra Madre Ave APT. #2, Azusa, CA 91702-1836

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-32353 (CA)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003139890
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2010
Record last updated: 19 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.