Provider Demographics
NPI:1891170429
Name:ALVARADO, SANDRA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ALVARADO
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 1:15929 SHERMAN WAY
Mailing Address - Street 2:APT 6
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4020
Mailing Address - Country:US
Mailing Address - Phone:818-823-6718
Mailing Address - Fax:
Practice Address - Street 1:15929 SHERMAN WAY
Practice Address - Street 2:APT 6
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4020
Practice Address - Country:US
Practice Address - Phone:818-823-6718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst