Healthcare Provider Details

I. General information

NPI: 1316533706
Provider Name (Legal Business Name): ALIYAH LEIANN ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ARNOLD DR STE 148
MARTINEZ CA
94553-6538
US

IV. Provider business mailing address

1100 LEGEND CIR
VALLEJO CA
94591-8679
US

V. Phone/Fax

Practice location:
  • Phone: 925-310-6311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: