Individual
ALYSSA CACCAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13553 ATLANTIC BLVD STE 100, JACKSONVILLE, FL 32225-4227
(904) 420-7030
Mailing address
7733 PARADISE ISLAND BLVD APT 2915, JACKSONVILLE, FL 32256-3775
(904) 820-7306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
08/09/2023
Last updated
03/19/2024
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