Individual
ALISSA BRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
237 HEYBURN AVE, TWIN FALLS, ID 83301-4714
(208) 569-4504
Mailing address
237 HEYBURN AVE, TWIN FALLS, ID 83301-4714
(208) 569-4504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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