Individual
ALEXA POULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12792 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2526
(714) 337-6484
Mailing address
12792 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2526
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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