Individual
ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7373 UNIVERSITY AVE STE 202, LA MESA, CA 91942-0524
(619) 713-0737
(619) 639-8277
Mailing address
7373 UNIVERSITY AVE STE 202, LA MESA, CA 91942-0524
(619) 713-0737
(619) 639-8277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-136032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-136032
RBT
CA
Enumeration date
09/23/2020
Last updated
09/23/2020
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