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Individual
MISS ALYSSA J MOUNT
Active
Individual
MISS ALYSSA J MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
103K00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F5649099
DRIVERS LICENSE
CA
Enumeration date
06/22/2021
Last updated
06/22/2021
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