Individual
ALEX ALBERTO MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1404
(626) 320-1317
(626) 251-4266
Mailing address
222 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1404
(626) 320-1317
(626) 251-4266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-19-9805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-19-9805
BEHAVIOR ANALYST CERTIFICATION BOARD
CA
Enumeration date
08/27/2019
Last updated
08/27/2019
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