Most Relevant Information
Provider Data
NPI Number: | 1003464959 |
Provider Name: | ALANA LARISSA PANTOJA |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/03/2019 |
Last Updated: | 09/03/2019 |
Provider Practice Location
2360 IRVING ST
SAN FRANCISCO
CA
941221621
Practice Location Phone/Fax
Phone: | 9167293098 |
Fax: |
Provider Mailing Location
116 CAMBON DR
SAN FRANCISCO
CA
941322552
Provider Mailing Phone/Fax
Phone: | 5599706146 |
Fax: |