Healthcare Provider Details
I. General information
NPI: 1013503093
Provider Name (Legal Business Name): ALICIA MONIQUE FLORES BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/14/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12432 BELLFLOWER BLVD
DOWNEY CA
90242-2806
US
IV. Provider business mailing address
11531 SENWOOD ST
NORWALK CA
90650
US
V. Phone/Fax
- Phone: 818-241-6780
- Fax:
- Phone: 562-569-3573
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-26-89714 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: