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Individual

ALISSA GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, BCBA-D

Contact information

Practice address
936 DEWING AVE, SUITE N, LAFAYETTE, CA 94549
(925) 800-3398
Mailing address
2625 ALCATRAZ AVE # 113, BERKELEY, CA 94705-2702
(925) 800-3398

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26008
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08258
OH
Enumeration date
08/18/2011
Last updated
07/15/2021
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