Individual
ALEXA KAITLYN BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
9980 LEDGESIDE ST, SPRING VALLEY, CA 91977-7040
(619) 867-5207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-392266
CA
106S00000X
Behavior Technician
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/06/2024
Last updated
10/02/2025
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