Individual
ALANA LARISSA PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 IRVING ST, SAN FRANCISCO, CA 94122-1621
(916) 729-3098
Mailing address
116 CAMBON DR, SAN FRANCISCO, CA 94132-2552
(559) 970-6146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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