Individual
ALEXANDER MICHAEL DIBARTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 N MCDOWELL BLVD STE 206, PETALUMA, CA 94954-6525
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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