Provider Demographics
NPI:1013665504
Name:ARREDONDO, NATALIE ABIGAIL (BCBA)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ABIGAIL
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 N COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2002
Mailing Address - Country:US
Mailing Address - Phone:323-633-7819
Mailing Address - Fax:
Practice Address - Street 1:1134 N COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2002
Practice Address - Country:US
Practice Address - Phone:323-633-7819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst