Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1003437773 |
---|---|
Provider Name | Yoselin Alvarez Perez |
First Address | Santa Ana, CA 92705-8708 |
Second Address | Santa Ana, CA 92705-8708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2020 |
Last Update Date | 06/05/2020 |