Individual
ALEXANDRA GJERSVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 N AVALON BLVD, WILMINGTON, CA 90744
(562) 365-1232
Mailing address
17216 SATICOY ST. #141, VAN NUYS, CA 91406
(818) 206-3353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
08/25/2021
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