Individual provider · NPI-1

James Alston

Behavior Technician · Moreno Valley, CA

NPI number1851083547
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1851083547
Entity type
Individual (NPI-1)
Name
James Alston
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2023
Certification date
May 22, 2023
Last updated
May 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

Phone 951-525-1990

Mailing address

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

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