Individual
ANNALISA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 BENNER STE 250, KYLE, TX 78640-2220
(512) 596-4883
Mailing address
4221 BENNER STE 250, KYLE, TX 78640-2220
(512) 596-4883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-112152
TX
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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