Individual
ALICE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 95827-3334
(916) 363-6103
(916) 244-0594
Mailing address
9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 95827-3334
(916) 363-6103
(916) 244-0594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33596
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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