Individual
ALEXA TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 CENTER AVE STE 160, RANCHO CUCAMONGA, CA 91730-5838
(858) 264-5858
Mailing address
16255 VENTURA BLVD, STE 900, RANCHO CUCAMONGA, CA 91730
(801) 316-3564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
11/04/2025
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