Individual
ALYSSA LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
839 BUCKINGHAM PL, DANVILLE, CA 94506-1267
(925) 854-8508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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