Individual
MARISSA ANN ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MCDONALD ST APT 15X, LAFAYETTE, LA 70506-8232
(605) 252-1812
Mailing address
21600 OXNARD ST. STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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