Provider Demographics
NPI:1902446594
Name:ALVARADO, ALEXANDRIA DIANE (BCBA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:DIANE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 CRENSHAW BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2432
Mailing Address - Country:US
Mailing Address - Phone:559-355-2275
Mailing Address - Fax:
Practice Address - Street 1:1327 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2432
Practice Address - Country:US
Practice Address - Phone:424-262-5868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst