Individual
ALYSSA SARAHI VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 SIDMOUTH CT, HEMET, CA 92545-5250
(951) 388-7342
Mailing address
28134 BLOSSOMWOOD CT, MENIFEE, CA 92584-8733
(951) 388-7342
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20060900643700
—
CA
Enumeration date
08/31/2022
Last updated
08/31/2022
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