Individual
ALISA RENEE ESPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1670 CORPORATE CIR STE 100, PETALUMA, CA 94954
(507) 951-8556
Mailing address
1670 CORPORATE CIR STE 100, PETALUMA, CA 94954-6947
(507) 951-8556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28299
CA
Other
Enumeration date
09/21/2018
Last updated
07/02/2021
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