Individual
ALAN EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 LENNON LN STE 100, WALNUT CREEK, CA 94598-2460
(925) 465-1585
(925) 433-6555
Mailing address
4000 CASABLANCA TER APT 4308, DANVILLE, CA 94506-1955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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