Iraida Lizet Avena
Behavior Analyst in Milpitas, CA. Individual provider (NPI-1).
NPI number1669974945
StatusActive
Last updated in NPPESMar 2, 2018
Details
- NPI
- 1669974945
- Entity type
- Individual (NPI-1)
- Name
- Iraida Lizet Avena
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2018
- Last updated
- Mar 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1603a S Main StMilpitas, CA 95035-6261
Phone 408-913-5019
Mailing address
1603a S Main StMilpitas, CA 95035-6261
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