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Individual

ANELSI MARIANA ALVAREZ GALLEGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23030 LYONS AVE STE 200, NEWHALL, CA 91321-2754
(661) 425-7066
(805) 299-4505
Mailing address
23030 LYONS AVE STE 200, NEWHALL, CA 91321-2754
(661) 425-7066
(805) 299-4505

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36610
CA

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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