Individual
ALEXANDER CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17911 SKY PARK CIR STE E, IRVINE, CA 92614-4303
(949) 202-0257
Mailing address
2973 HARBOR BLVD # 136, COSTA MESA, CA 92626-3912
(949) 202-0257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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