Individual
MS. ALEXANDRA MARIE WICHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
17-35352
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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