Individual
ALIYAH NYCOLE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15708 POMERADO RD, POWAY, CA 92064-2066
(858) 746-5566
Mailing address
15708 POMERADO RD, POWAY, CA 92064-2066
(858) 746-5566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D4611986
CA
Other
Enumeration date
03/01/2018
Last updated
03/17/2018
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