Healthcare Provider Details

I. General information

NPI: 1285522201
Provider Name (Legal Business Name): ALISA JANE CIULLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE BLDG A10
ALHAMBRA CA
91803-8800
US

IV. Provider business mailing address

3807 CYPRESS AVE
EL MONTE CA
91731-2127
US

V. Phone/Fax

Practice location:
  • Phone: 949-406-9424
  • Fax:
Mailing address:
  • Phone: 626-315-4423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: