Individual
ALENA C SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 W HAMMER LN, STOCKTON, CA 95219-5532
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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