Provider Demographics
NPI:1255064556
Name:AGUILAR, ALIYAH RENEE
Entity type:Individual
Prefix:
First Name:ALIYAH
Middle Name:RENEE
Last Name:AGUILAR
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 1:5474 N FRESNO ST APT 107
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6033
Mailing Address - Country:US
Mailing Address - Phone:559-892-6330
Mailing Address - Fax:
Practice Address - Street 1:5474 N FRESNO ST APT 107
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6033
Practice Address - Country:US
Practice Address - Phone:559-892-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst