Provider Demographics
NPI:1932837150
Name:MONCADA, ALINA MICHELLE
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:MICHELLE
Last Name:MONCADA
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 1:1330 KINGSWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3307
Mailing Address - Country:US
Mailing Address - Phone:805-832-3253
Mailing Address - Fax:
Practice Address - Street 1:1330 KINGSWOOD WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3307
Practice Address - Country:US
Practice Address - Phone:805-832-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician