Individual
ALEJANDRO OLMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12171 TERRA BELLA ST, PACOIMA, CA 91331-1437
(818) 470-0159
Mailing address
12171 TERRA BELLA ST, PACOIMA, CA 91331-1437
(818) 470-0159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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