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NPI Code Detail

MEDICARE: ALYSSA PLATAS

MEDICARE:   ALYSSA  PLATAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1073087821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA PLATAS
Provider Business Mailing Address
First Line : 1401 FULTON ST STE 200
Second Line :
City : FRESNO
State : CA
Zip : 93721-1646
Country : US
Telephone Number : 559-348-9225
Fax Number :
Provider Business Practice Location Address
First Line : 1401 FULTON ST STE 200
Second Line :
City : FRESNO
State : CA
Zip : 93721-1646
Country : US
Telephone Number : 559-348-9225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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Directions to “ ALYSSA PLATAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.