Provider Demographics
NPI:1386348555
Name:SALAS ALONSO, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SALAS ALONSO
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 1:1919 MANHATTAN AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-2201
Mailing Address - Country:US
Mailing Address - Phone:650-384-1780
Mailing Address - Fax:
Practice Address - Street 1:1919 MANHATTAN AVE APT 7
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-2201
Practice Address - Country:US
Practice Address - Phone:650-384-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician