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Individual

ALEXA LEATA KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
713 W COMMONWEALTH AVE STE C, FULLERTON, CA 92832-1612
(714) 879-4274
(714) 878-2274
Mailing address
11421 186TH ST APT 110, ARTESIA, CA 90701-5548
(714) 615-5125

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/01/2022
Last updated
03/01/2022
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