Provider Demographics
NPI:1407322969
Name:ZARAGOZA, ALINE (MS)
Entity Type:Individual
Prefix:
First Name:ALINE
Middle Name:
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10484 VALLEY BLVD SPC 75
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2437
Mailing Address - Country:US
Mailing Address - Phone:626-277-7190
Mailing Address - Fax:
Practice Address - Street 1:900 CORPORATE CENTER DR STE 350
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7620
Practice Address - Country:US
Practice Address - Phone:323-526-4016
Practice Address - Fax:323-526-4096
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-32031103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst