Individual
ALEXANDER BENNETT TAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1887 MONTEREY HWY STE 225, SAN JOSE, CA 95112-6192
(408) 706-6855
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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