Individual
ALEXA DELUCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PARKMOOR AVE STE 110, SAN JOSE, CA 95126-3453
(408) 241-9911
Mailing address
1027 STEINWAY AVE, CAMPBELL, CA 95008-6424
(916) 945-7071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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