Provider Demographics
NPI:1174300172
Name:SMITHSON, ALIYA FRANCES
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:FRANCES
Last Name:SMITHSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALIYA
Other - Middle Name:FRANCES
Other - Last Name:BRESSEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 419 AUBERRY RD
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602
Mailing Address - Country:US
Mailing Address - Phone:559-908-5914
Mailing Address - Fax:
Practice Address - Street 1:1752 E BULLARD AVE # 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710
Practice Address - Country:US
Practice Address - Phone:559-330-1157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician