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NPI Code Detail

MEDICARE: MR. AARON ANDREW STREET B.A.

MEDICARE: MR. AARON ANDREW STREET B.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1881225910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON ANDREW STREET B.A.
Provider Business Mailing Address
First Line : 12021 WILMINGTON AVE STE 2B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90059-3019
Country : US
Telephone Number : 213-222-1681
Fax Number :
Provider Business Practice Location Address
First Line : 12021 WILMINGTON AVE STE 2B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90059-3019
Country : US
Telephone Number : 213-222-1681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2020
Last Update Date : 03/02/2026

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