Individual
ALLIZA ANNE CABRERA KANGLEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
161 BUTCHER RD STE B, VACAVILLE, CA 95687-5685
(707) 305-1118
Mailing address
875 HELMSLEY DRIVE, VACAVILLE, CA 95687-8260
(707) 342-3331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-25585
BEHAVIOR ANALYST CERTIFICATION NUMBER
—
Enumeration date
10/19/2016
Last updated
07/10/2024
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