Individual
ALENA GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W BROADWAY STE 800, SAN DIEGO, CA 92101-3546
(501) 800-9210
Mailing address
1930 S LANOITAN AVE, NATIONAL CITY, CA 91950-5352
(541) 400-9845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193341
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
11/18/2021
Last updated
11/18/2024
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