Individual
ALETA PAJ CHIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALFRED NOBEL DR STE 275A-B, HERCULES, CA 94547-1838
(510) 230-5007
(510) 417-2672
Mailing address
3414 MOSS VALLEY DR, FAIRFIELD, CA 94534-7911
(707) 699-5738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801356787
MEDICAL
CA
Enumeration date
08/18/2025
Last updated
08/18/2025
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