Alyssa Lillianna Chacon
Individual provider Active NPI Behavior Technician · Lemoore, CA
NPI 1073204384 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1073204384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 333 E Cinnamon Dr Apt 334
Lemoore, CA 93245-2889 - Phone
- (559) 578-2378
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
333 E Cinnamon Dr Apt 334
Lemoore, CA 93245-2889
Mailing address
7339 N 1St St
Fresno, CA 93720-2954
Other providers in Lemoore, CA
- Jesus Ceja
- Central Union Elementary School District
- Central Valley Indian Health Inc
- Central Valley Maternal & Child Care Centers
- Vanessa Cervantes
- Champions Recovery Alternative Programs, Inc.
- Douglas Jeffrey Chang
- Samantha Chavez
- Oliver Chiong
- Leland Cho
All providers in Lemoore, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.