Healthcare Provider Details

I. General information

NPI: 1093341430
Provider Name (Legal Business Name): ALIAH GALINDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 11/08/2023
Certification Date: 03/17/2020
Deactivation Date: 10/18/2023
Reactivation Date: 11/08/2023

III. Provider practice location address

111 DEERWOOD RD STE 115
SAN RAMON CA
94583-4445
US

IV. Provider business mailing address

111 DEERWOOD RD STE 115
SAN RAMON CA
94583-4445
US

V. Phone/Fax

Practice location:
  • Phone: 949-325-4402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: