Individual
ALEXA ESMERALDA FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(626) 775-7888
Mailing address
721 E 9TH ST SPC 33, SAN BERNARDINO, CA 92410-4001
(909) 642-7323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/21/2023
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