Individual
MISS ALYSSA JUSTINE TIUMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
426 E NICHOLS CANYON RD, UNIT 1110, CEDAR CITY, UT 84721-5310
(916) 949-4486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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