Individual
ERIN ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 E WALNUT ST, COLUMBIA, MO 65201-4944
(619) 922-6265
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2022040350
MO
Other
Enumeration date
12/21/2016
Last updated
10/07/2022
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