| Doctor Name: | DR. AIMEE ELIZABETH ANDERSON |
| NPI Number: | 1356630602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., BCBA-D |
| License Number: | PSY 18781 |
| Business Practice Address: | 301 Science Dr Suite 180 Moorpark, CA - 930212094 |
| Business Phone Number: | 8055295265 |
| Business Fax Number: | 8055295267 |
| Mailing Address: | 301 Science Dr, Suite 180 MOORPARK |
| State: | CA |
| Postal Code: | 930212094 |
| Phone Number: | 8055295265 |
| Fax Number: | 8055295267 |
| NPI Enumeration Date: | 04/06/2011 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY 18781 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |