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Individual

ALEXA I CHAVOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3224 MCHENRY AVE, MODESTO, CA 95350-1400
(209) 900-4546
Mailing address
5432 7TH ST, KEYES, CA 95328-9736
(209) 408-6771

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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