Most Relevant Information
Provider Data
| NPI Number: | 1003469115 |
| Provider Name: | ALEXANDRA NIIYAMA NIIYAMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2019 |
| Last Updated: | 06/10/2021 |
Provider Practice Location
2035 HURLEY WAY STE 290
SACRAMENTO
CA
958253221
Practice Location Phone/Fax
| Phone: | 9167589730 |
| Fax: |
Provider Mailing Location
2035 HURLEY WAY STE 290
SACRAMENTO
CA
958253221
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |