Individual
ALYSSA C COLACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11922 FAIRWAY LAKES DR STE 2, FORT MYERS, FL 33913-8384
(201) 600-0756
Mailing address
19523 SKIDMORE WAY APT 304, ESTERO, FL 33967-4890
(201) 600-0756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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