Individual
MRS. ALYSON DAWNELLE BOOCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
(714) 962-6760
Mailing address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
(714) 962-6760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-15-6490
CA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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