Alexandra Ballesteros

Individual provider Active NPI Behavior Technician · Winchester, CA

NPI 1366200438 · NPPES record last updated Mar 12, 2024

Key facts

NPI
1366200438
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
31401 Bradford St
Winchester, CA 92596-9154
Phone
(619) 729-5366
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

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 Technician 106S00000X Yes

Addresses

Primary practice location

31401 Bradford St
Winchester, CA 92596-9154

Mailing address

31401 Bradford St
Winchester, CA 92596-9154

Other providers in Winchester, CA

All providers in Winchester, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.