Individual
ALISA MARIE SANTANA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1274 CENTER COURT DR STE 211, COVINA, CA 91724-3668
(626) 339-4999
(626) 339-3931
Mailing address
1274 CENTER COURT DR STE 211, COVINA, CA 91724-3668
(626) 339-4999
(626) 339-3931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25743
CA
Other
Enumeration date
04/01/2017
Last updated
02/21/2025
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