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Contact Information

ALISA R ESPANA, MA, BCBA
1670 CORPORATE CIR STE 100
PETALUMA, CA94954
 Phone: 507-951-8556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for ALISA R ESPANA · (Female)

NPI Number 1699259994
Status Active
Credentials MA, BCBA
Entity Individual
Enumeration date 09/21/2018
Last updated 07/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1-17-28299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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