Izidoro, India Alyse
Izidoro, India Alyse is an sole proprietor health care provider with primary practice located at 1210 Central Blvd Ste A , Brentwood CA 94513-2379. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Izidoro, India Alyse can be contacted via phone (925) 809-6565.Contact Information
Primary practice address
1210 Central Blvd Ste A
Brentwood CA 94513-2379
Phone: (925) 809-6565
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-68599 | California |
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-18-9439 | New Jersey |
Profile Details
NPI number | 1831729664 |
---|---|
LBN Legal business name | Izidoro, India Alyse |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 21st, 2020 |
Last updated | Oct 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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