Adriana Vanessa Alvarez I

Individual provider Active NPI Behavior Analyst · Danville, CA

NPI 1124520820 · NPPES record last updated Mar 8, 2018

Key facts

NPI
1124520820
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-17-25084 (CA)
Practice address
811 San Ramon Valley Blvd Ste 100
Danville, CA 94526-4025
Phone
(925) 964-3115
NPI assigned
Mar 8, 2018
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25084 CA Yes

Addresses

Primary practice location

811 San Ramon Valley Blvd Ste 100
Danville, CA 94526-4025

Mailing address

673 Brookside Dr
Danville, CA 94526-4250

Other identifiers

IdentifierTypeStateIssuer
F4838891MedicaidCA

Other providers in Danville, CA

All providers in Danville, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.