Individual
ALEXANDER HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17130 VAN BURREN BLVD, RIVERSIDE, CA 92506
(951) 500-3574
Mailing address
610 N HAZARD AVE, LOS ANGELES, CA 90063-3338
(323) 365-4596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
05/20/2024
Last updated
05/21/2024
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