Individual provider · NPI-1

Allen Ian Alvarez

Behavior Technician · Tempe, AZ

NPI number1184443053
StatusActive
Last updated in NPPESDec 23, 2024

Details

NPI
1184443053
Entity type
Individual (NPI-1)
Name
Allen Ian Alvarez
Sex
Male
Sole proprietor
No
Enumeration date
Oct 8, 2024
Certification date
Oct 8, 2024
Last updated
Dec 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2005 W 14th Street
Tempe, AZ 85281

Phone 480-863-0763 · Fax 480-898-7419

Mailing address

2005 W 14th Street
Tempe, AZ 85281

Phone 480-863-0763 · Fax 480-898-7419

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