Most Relevant Information
Provider Data
| NPI Number: | 1003678566 |
| Provider Name: | ALEXANDER KUBODERA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2024 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
3841 PO RIVER WAY
SACRAMENTO
CA
958347624
Practice Location Phone/Fax
| Phone: | 2085136297 |
| Fax: |
Provider Mailing Location
3841 PO RIVER WAY
SACRAMENTO
CA
958347624
Provider Mailing Phone/Fax
| Phone: | 2085136297 |
| Fax: |