Individual
ALEXANDRA PENNACHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 N TUSTIN ST STE 100, ORANGE, CA 92865-1751
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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