Philomena Loucille Alonzo Verceles
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124792205
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1124792205
- Entity type
- Individual (NPI-1)
- Name
- Philomena Loucille Alonzo Verceles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4401 Crenshaw Blvd Ste 215Los Angeles, CA 90043-1200
Phone 323-291-7100
Mailing address
4401 Crenshaw Blvd Ste 215Los Angeles, CA 90043-1200
Phone 323-291-7100
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