Individual
ALEXANDER DIANOV STAVREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4540 HARLIN DR, SACRAMENTO, CA 95826-9716
(916) 364-7800
(916) 361-9987
Mailing address
3075 CITRUS CIR STE 240, WALNUT CREEK, CA 94598-2667
(925) 256-1100
(925) 256-1122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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