Individual
MRS. ALICIA AVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 HARRISON ST, SAN FRANCISCO, CA 94107-1235
(415) 836-1729
(415) 836-1735
Mailing address
760 HARRISON ST, SAN FRANCISCO, CA 94107-1235
(415) 836-1729
(415) 836-1735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
946000417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946 000417
—
CA
Enumeration date
08/06/2012
Last updated
08/06/2012
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