Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1063063493 |
---|---|
Provider Name | Miss Natalie Izabel Alvarez |
First Address | Chatsworth, CA 91311-6542 |
Second Address | Chatsworth, CA 91311-6542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2019 |
Last Update Date | 26/09/2019 |