Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Alyssa Salazar
City Fresno                     | 
Group HEALTH NET DIRECT FFS MEDI-CAL                                                                        | 
Specialty Qualified Autism Svc Provider                       | 
Last Name Salazar                                                             | 
First Name Alyssa                                              | 
Address 6760 N West Ave Ste 101                   | 
State CA  | 
Zip Code 93711      | 
Phone (866)523-4268   | 
Hours Mon - Fri 8:00 AM - 5:00 PM                                                                                               | 
Gender F  | 
Title BCBA     | 
Physician ID   248612         | 
Section Number A  | 
County FRESNO  | 
Accepting New Patient Yes  | 
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                          | 
PPG ID MHDML  | 
NPI Number   1326529785   | 
Access Requirement Limited  | 
PARKING_IND P  | 
EXT_BUILD_IND EB  | 
INT_BUILD_IND IB  | 
RESTROOM_IND R  | 
License ID BCB31646            | 
Email credentialing@kadiant.com                                     | 
Board Certified No  | 
Self Access Flag Self Reported Data  | 
PHY CCT IND N  | 


