Individual provider · NPI-1

Paola Jackeline Alfaro Geraldo

Behavior Technician · Gardena, CA

NPI number1972293314
StatusActive
Last updated in NPPESMay 12, 2023

Details

NPI
1972293314
Entity type
Individual (NPI-1)
Name
Paola Jackeline Alfaro Geraldo
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2023
Certification date
May 12, 2023
Last updated
May 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
103K00000X Behavior Analyst––

Practice location

1149 W 190th St Ste 2200
Gardena, CA 90248-4344

Phone 310-856-0800 · Fax 855-568-2494

Mailing address

1149 W 190th St Ste 2200
Gardena, CA 90248-4344

Phone 310-856-0800 · Fax 855-568-2494

Other practice locations

18726 S Western Ave
Gardena, CA 90248-3813

Phone 310-856-0800 · Fax 855-568-2494

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