Alexander Ponce
Behavior Technician in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1982256582
StatusActive
Last updated in NPPESJul 13, 2019
Details
- NPI
- 1982256582
- Entity type
- Individual (NPI-1)
- Name
- Alexander Ponce
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2019
- Last updated
- Jul 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
877 Ygnacio Valley RdWalnut Creek, CA 94596-3878
Phone 925-482-3330
Mailing address
1333 5th StRodeo, CA 94572-1605
Phone 510-860-0890
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