Individual
ALYSSA CANTRELL-VITANGCOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18685 MAIN ST STE 101-459, HUNTINGTON BEACH, CA 92648-1723
(714) 697-1907
Mailing address
2808 DENNIS LN, LEMON GROVE, CA 91945-2609
(530) 574-2094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68676
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/07/2023
Last updated
09/30/2024
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