Daisy Alonzo

Individual provider Active NPI Behavior Technician · Reseda, CA

NPI 1780323972 · NPPES record last updated Jun 3, 2022

Key facts

NPI
1780323972
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
18626 Bassett St
Reseda, CA 91335-4130
Phone
(818) 405-6345
NPI assigned
Jun 3, 2022
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 Technician 106S00000X Yes

Addresses

Primary practice location

18626 Bassett St
Reseda, CA 91335-4130

Mailing address

18626 Bassett St
Reseda, CA 91335-4130
Phone (818) 405-6345

Other providers in Reseda, CA

All providers in Reseda, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.