Individual
AALIYAH LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38930 BLACOW RD # 168, FREMONT, CA 94536-7374
(650) 308-5972
Mailing address
33779 DALTON CT, UNION CITY, CA 94587-3217
(510) 320-7183
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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