Individual
ALISSIYA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 ILLINOIS AVE STE 100, KILLEEN, TX 76543-5374
(254) 432-7041
Mailing address
3010 ILLINOIS AVE STE 100, KILLEEN, TX 76543-5374
(254) 432-7041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24374827
TX
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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