Jennifer Alfaro

Individual provider Active NPI Behavior Technician · Atascadero, CA

NPI 1609417013 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1609417013
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8951 Morro Rd
Atascadero, CA 93422-3984
Phone
(805) 703-2120
NPI assigned
Oct 7, 2019
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

8951 Morro Rd
Atascadero, CA 93422-3984

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Other providers in Atascadero, CA

All providers in Atascadero, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.