Lissette Alcantar
Individual provider Active NPI Behavior Technician · Clovis, CA
NPI 1760028211 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1760028211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 75 Park Creek Dr Ste 104
Clovis, CA 93611-4432 - Phone
- (559) 460-9090
- NPI assigned
- Nov 20, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
75 Park Creek Dr Ste 104
Clovis, CA 93611-4432
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other providers in Clovis, CA
- Sadri Mehmet Akin
- Muhammad Akrmah
- Naif Mansour Al-Aedan
- Yuleen Yuri Al-Saoudi
- Alamos Care
- Michael D Alch
- Christine Alcorn
- Jessica Alcorta
- Carolyn Aldama
- Cassandra Aldaz
All providers in Clovis, 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 Nov 20, 2019. 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.