Individual
ALONDRA ITZAMAR LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2595 ATLANTA AVE SPC 70, RIVERSIDE, CA 92507-2457
(951) 462-9020
Mailing address
2595 ATLANTA AVE SPC 70, RIVERSIDE, CA 92507-2457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20030400624801
MEDICAL
CA
Enumeration date
10/23/2019
Last updated
10/23/2019
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