Alexandria Lynnette Dock
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1083172381
StatusActive
Last updated in NPPESMar 5, 2019
Details
- NPI
- 1083172381
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Lynnette Dock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2019
- Last updated
- Mar 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7339 N 1st St Ste 110Fresno, CA 93720-2954
Phone 916-729-3098
Mailing address
1946 S Chinowth StVisalia, CA 93277-3918
Phone 559-723-1347
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