Individual
ALYSSA TIJERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 LAKEWOOD AVE APT 140, MODESTO, CA 95355-3579
(408) 422-8804
Mailing address
1401 LAKEWOOD AVE APT 140, MODESTO, CA 95355-3579
(408) 422-8804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
06/28/2023
Last updated
08/06/2026
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