Alaia Provencio
Alaia Provencio is a Behavior Technician in Stockton, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2453 Grand Canal Blvd Ste AStockton, CA 95207-8259
Phone: (855) 223-7123
Fax: (714) 784-7516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1376296905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 2, 2022 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | February 2, 2022 |
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