Provider Demographics
NPI:1427678754
Name:RIVERA-KRAUSE, ALLISON CHRISTINE (APCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CHRISTINE
Last Name:RIVERA-KRAUSE
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8159 E BAILEY WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2514
Mailing Address - Country:US
Mailing Address - Phone:714-415-9887
Mailing Address - Fax:
Practice Address - Street 1:451 TAMARACK AVENUE
Practice Address - Street 2:SUITE 212
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:714-253-7877
Practice Address - Fax:714-644-9655
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X, 106S00000X
CA18099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician