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Alyssa Lutz

Behavior Technician in Oakdale, CA. Individual provider (NPI-1).

NPI number1336723741
StatusActive
Last updated in NPPESMay 23, 2022

Details

NPI
1336723741
Entity type
Individual (NPI-1)
Name
Alyssa Lutz
Sex
Female
Sole proprietor
Yes
Enumeration date
May 11, 2021
Certification date
May 23, 2022
Last updated
May 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4548 Bentley Rd
Oakdale, CA 95361-7938

Phone 209-499-1115

Mailing address

2624 E Decameron Ln
Meridian, ID 83642-9035

Phone 209-499-1115

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Other Behavior Technician providers in Oakdale, CA

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