Most Relevant Information
Provider Data
| NPI Number: | 1003323718 |
| Provider Name: | LYZANDRA NIEVES |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-21-55098 |
Most Important Dates
| Enumeration Date: | 01/03/2018 |
| Last Updated: | 11/20/2021 |
Provider Practice Location
3075 CITRUS CIR STE 240
WALNUT CREEK
CA
945982667
Practice Location Phone/Fax
| Phone: | 9252561100 |
| Fax: | 9252561122 |
Provider Mailing Location
77 ESTABROOK ST APT 236
SAN LEANDRO
CA
945775933
Provider Mailing Phone/Fax
| Phone: | 5107146552 |
| Fax: |