Alexis Anzaldo

Individual provider Active NPI Behavior Technician · San Diego, CA

NPI 1669150660 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1669150660
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2820 Camino del Rio S Ste 100
San Diego, CA 92108-3822
Phone
(858) 264-5858
Fax
(858) 649-6012
NPI assigned
Jul 10, 2023
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

2820 Camino del Rio S Ste 100
San Diego, CA 92108-3822

Mailing address

2820 Camino del Rio S Ste 100
San Diego, CA 92108-3822
Phone (858) 264-5858

Other providers in San Diego, CA

All providers in San Diego, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.