Provider Demographics
NPI:1811373947
Name:SOTODEH, JENNIFER LYNN-MI (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN-MI
Last Name:SOTODEH
Suffix:
Gender:F
Credentials:MA, BCBA
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Mailing Address - Street 1:11335 MAGNOLIA BLVD STE 2C
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4956
Mailing Address - Country:US
Mailing Address - Phone:818-824-5420
Mailing Address - Fax:818-824-3885
Practice Address - Street 1:11335 MAGNOLIA BLVD
Practice Address - Street 2:SUITE 2C
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4949
Practice Address - Country:US
Practice Address - Phone:818-824-5420
Practice Address - Fax:818-824-3885
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2022-10-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst