Individual
ALEXA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2489 LAKE TAHOE BLVD STE 23, SOUTH LAKE TAHOE, CA 96150-7739
(530) 578-3839
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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