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NPI Code Detail

MEDICARE: ALYSSA SOLOMON BCBA

MEDICARE: ALYSSA SOLOMON BCBA
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
1103K00000XBehavior AnalystBACB630988CA

General Provider Information

NPI Number : 1467211284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA SOLOMON BCBA
Provider Business Mailing Address
First Line : 4500 PARK GRANADA STE 202
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1666
Country : US
Telephone Number : 818-932-9644
Fax Number : 818-991-7722
Provider Business Practice Location Address
First Line : 4500 PARK GRANADA STE 202
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1666
Country : US
Telephone Number : 818-932-9644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 04/11/2025

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Directions to “ ALYSSA SOLOMON BCBA” Practice Location

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