Individual
ALISA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S CHESTER AVE, COMPTON, CA 90221-3902
(951) 375-6345
Mailing address
713 W COMMONWEALTH AVE, FULLERTON, CA 92832-1612
(657) 799-3152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/21/2023
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