Alysa Mone Thayravanh
Alysa Mone Thayravanh is a Behavior Technician in Irvine, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
9844 Research Dr Ste 100Irvine, CA 92618-4381
Phone: (714) 483-0994
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1639817422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2022 |
| Last updated in NPPES | May 23, 2022 |
| Certification date | May 23, 2022 |
| Mailing address | 11555 Santa Gertrudes Ave Apt 101, Whittier, CA 90604-3453 |
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