MEDICARE: ARYANNA ALVARADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1306639786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYANNA ALVARADO

Provider Business Mailing Address
First Line	:	1409 W 111TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-4922
Country	:	US
Telephone Number	:	323-672-9008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1409 W 111TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-4922
Country	:	US
Telephone Number	:	323-672-9008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	05/27/2025

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Directions to “ ARYANNA ALVARADO ” Practice Location

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