Individual
ALEJANDRA BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(626) 775-7888
Mailing address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(626) 775-7888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R10743924
HEALTH NET
CA
Enumeration date
07/22/2021
Last updated
07/22/2021
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