Provider Demographics
NPI:1487159695
Name:CONTRERAS, ANARALY (BS)
Entity type:Individual
Prefix:
First Name:ANARALY
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2379 WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7339
Mailing Address - Country:US
Mailing Address - Phone:925-421-3543
Mailing Address - Fax:
Practice Address - Street 1:1 CROW CANYON CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1928
Practice Address - Country:US
Practice Address - Phone:925-548-3022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94129128A652218OtherMEDI-CAL