Alyssa Rene Alvarez

Individual provider Active NPI Behavior Technician · Madera, CA

NPI 1821584004 · NPPES record last updated Jul 10, 2018

Key facts

NPI
1821584004
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
Y3766460 (CA)
Practice address
1915 Howard Rd Ste S
Madera, CA 93637-5163
Phone
(559) 330-2211
NPI assigned
Jul 10, 2018
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

State licenses

LicenseStateTypeSpecialty
Y3766460CAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Y3766460 CA Yes

Addresses

Primary practice location

1915 Howard Rd Ste S
Madera, CA 93637-5163

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Madera, CA

All providers in Madera, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.