ALEX BOUNSANA

MODESTO, CA
NPI1194521542
Former NameALEXANDER JAMES PHOMSOUVANH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-02-24
Last Update Date2025-05-22
Business Address
ALEX BOUNSANA
3224 MCHENRY AVE
MODESTO, CA 95350-1400
Phone number: 833-227-3454
Mailing Address
ALEX BOUNSANA
3224 MCHENRY AVE
MODESTO, CA 95350-1400
Phone number:
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