Individual
ALYSIA VANESSA TRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 SANTA RITA RD STE 112, PLEASANTON, CA 94566
(925) 470-6948
Mailing address
1811 SANTA RITA RD STE 112, PLEASANTON, CA 94566-4741
(925) 470-6948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
5667
CA
Other
Enumeration date
07/09/2018
Last updated
10/04/2019
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