Individual
CARISSA ALLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(719) 299-2178
Mailing address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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