Individual
ALISA WAITE
Active
Individual
ALISA WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
03/09/2020
Last updated
08/11/2026
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