Individual
ALEXA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9355 E STOCKTON BLVD STE 100, ELK GROVE, CA 95624-9476
(916) 683-1109
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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