Provider Demographics
NPI:1003524414
Name:ROSS, ALEJANDRA HASSOUNI
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:HASSOUNI
Last Name:ROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7370 PARKWAY DR APT 307
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-1848
Mailing Address - Country:US
Mailing Address - Phone:619-689-8300
Mailing Address - Fax:
Practice Address - Street 1:7370 PARKWAY DR APT 307
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1848
Practice Address - Country:US
Practice Address - Phone:619-689-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty