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Individual

MRS. ALYSSA WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
400 W VENTURA BLVD STE 230, CAMARILLO, CA 93010-9142
(805) 264-5858
Mailing address
127 GLEN ELLEN DR, VENTURA, CA 93003-3113
(805) 501-8976

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-13-5565
CA
103K00000X
Behavior Analyst
Primary
1-19-40094
CA

Other

Enumeration date
05/02/2014
Last updated
01/01/2020
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