Individual
ALEXANDER PAUL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1835 PARK AVE, SAN JOSE, CA 95126-1629
(408) 885-0805
Mailing address
1835 PARK AVE, SAN JOSE, CA 95126-1629
(408) 885-0805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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