Healthcare Provider Details

I. General information

NPI: 1295314243
Provider Name (Legal Business Name): CREZEL ANDREA ALEGADO MA, NPI, RBT, BLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD
ORANGE CA
92868-4600
US

IV. Provider business mailing address

3037 RED SAGE
IRVINE CA
92618-1548
US

V. Phone/Fax

Practice location:
  • Phone: 657-565-3259
  • Fax:
Mailing address:
  • Phone: 808-541-7180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: