Individual
IZARIA ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 AUTHORITY DR, FITCHBURG, MA 01420-6044
(866) 727-8274
Mailing address
2550 N HOLLYWOOD WAY STE 301, BURBANK, CA 91505-5025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76257
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/19/2024
Last updated
01/30/2025
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