Most Relevant Information
Provider Data
| NPI Number: | 1003504721 |
| Provider Name: | ALEXA MYLES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2023 |
| Last Updated: | 05/01/2023 |
Provider Practice Location
16360 ROSCOE BLVD STE 100
VAN NUYS
CA
914061206
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |