Individual
ALEXA KETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 VAN HOUTEN AVE, EL CAJON, CA 92020-5128
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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