Individual
CARINA ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E SANTA CLARA ST, SUITE 200, ARCADIA, CA 91006-7233
(626) 419-4810
Mailing address
17145 E ORKNEY ST, AZUSA, CA 91702-5313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F1485801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMMXZ8603437
MEDICAL
CA
Enumeration date
08/08/2014
Last updated
12/06/2021
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