Healthcare Provider Details

I. General information

NPI: 1164335642
Provider Name (Legal Business Name): KATARINA MICHELLE ALEGRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
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

4441 MISTY WAY
YORBA LINDA CA
92886-2348
US

V. Phone/Fax

Practice location:
  • Phone: 714-402-3058
  • Fax:
Mailing address:
  • Phone: 714-402-3058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: