Provider Demographics
NPI:1598636888
Name:ALVAREZ, FELICITY (BT)
Entity type:Individual
Prefix:
First Name:FELICITY
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4488 N CORNELIA AVE APT 153
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3845
Mailing Address - Country:US
Mailing Address - Phone:559-270-1499
Mailing Address - Fax:
Practice Address - Street 1:4488 N CORNELIA AVE APT 153
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-3845
Practice Address - Country:US
Practice Address - Phone:559-477-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty