Individual
AILYSA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FOLSOM ST, SAN FRANCISCO, CA 94107-1243
(415) 813-2204
Mailing address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
07/13/2018
Last updated
11/28/2021
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