Provider Demographics
NPI:1982565172
Name:ALANIZ, CAMILA
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:ALANIZ
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 1:3162 NEWBERRY DR STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-1567
Mailing Address - Country:US
Mailing Address - Phone:408-826-4828
Mailing Address - Fax:844-274-2003
Practice Address - Street 1:3162 NEWBERRY DR STE 10
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-1567
Practice Address - Country:US
Practice Address - Phone:408-826-4828
Practice Address - Fax:844-274-2003
Is Sole Proprietor?:No
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-24-394168106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician