Provider Demographics
NPI:1770333296
Name:ALBA, ARIANA ALEXIS
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:ALEXIS
Last Name:ALBA
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 1:10343 E AVENUE S8
Mailing Address - Street 2:
Mailing Address - City:LITTLEROCK
Mailing Address - State:CA
Mailing Address - Zip Code:93543-2003
Mailing Address - Country:US
Mailing Address - Phone:661-998-6334
Mailing Address - Fax:
Practice Address - Street 1:10343 E AVENUE S8
Practice Address - Street 2:
Practice Address - City:LITTLEROCK
Practice Address - State:CA
Practice Address - Zip Code:93543-2003
Practice Address - Country:US
Practice Address - Phone:661-998-6334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst