Alyssa Lillianna Chacon

NPI #1073204384 in Lemoore, California

Provider Information

NPI Number: 1073204384
Entity Type: Individual
Name: Alyssa Lillianna Chacon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 17, 2023
Last Updated: May 17, 2023

Practice Location

Address: 333 E CINNAMON DR APT 334
City: Lemoore
State: California
ZIP Code: 93245-2889
Phone: (559) 578-2378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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