Individual
ALYSSA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 STATE ROAD 436, CASSELBERRY, FL 32707-4943
(689) 255-1075
Mailing address
9163 AVENUE POINTE CIR, ORLANDO, FL 32821-6334
(443) 547-8124
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24345271
FL
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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