Individual
ALYSSSA L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11419 LONDON LN, CLIO, MI 48420-1722
(616) 469-3870
Mailing address
11419 LONDON LN, CLIO, MI 48420-1722
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
04/03/2026
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