Individual
ALESSANDRA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 786-0074
(619) 202-7741
Mailing address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 786-0074
(619) 202-7741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57086
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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