Individual
ALEJANDRA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 HILLTOP MALL RD SUITE 104, RICHMOND, CA 94806
(510) 243-5195
Mailing address
2970 HILLTOP MALL RD SUITE 104, RICHMOND, CA 94806
(510) 243-5195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1390895
ABA
CA
Enumeration date
05/22/2019
Last updated
06/11/2019
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