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Individual

ALEXANDRA PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
18350 MOUNT LANGLEY ST, #105, FOUNTAIN VALLEY, CA 92708-6900
(855) 295-3276
(818) 241-6853
Mailing address
505 N BRAND BLVD, #1000, GLENDALE, CA 91203-1906
(818) 241-6780
(818) 241-6853

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17075
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-17075
BCBA
CA
Enumeration date
01/07/2015
Last updated
01/07/2015
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