Provider Demographics
NPI:1205617248
Name:NAVA, ALONDRA JOANNA
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:JOANNA
Last Name:NAVA
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 1:13405 EDGEMONT ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-8046
Mailing Address - Country:US
Mailing Address - Phone:951-363-9968
Mailing Address - Fax:
Practice Address - Street 1:13405 EDGEMONT ST
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8046
Practice Address - Country:US
Practice Address - Phone:951-363-9968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst