Individual
ALEXANDER MIRRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 ATHENS AVE, SIMI VALLEY, CA 93065-1714
(805) 416-9244
Mailing address
2260 ATHENS AVE, SIMI VALLEY, CA 93065-1714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/29/2023
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