Individual provider · NPI-1

Madison Marie Alfaro

Behavior Analyst · Moreno Valley, CA

NPI number1811522022
StatusActive
Last updated in NPPESMar 8, 2020

Details

NPI
1811522022
Entity type
Individual (NPI-1)
Name
Madison Marie Alfaro
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2020
Certification date
Mar 8, 2020
Last updated
Mar 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

12125 Day St Ste E301
Moreno Valley, CA 92557-6704

Phone 951-344-2166

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345 · Fax 000-000-0000

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