Individual
ALYSSA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1061 SMALTZ WAY, AUBURN, IN 46706-9599
(260) 255-3665
Mailing address
3007 CANTERBURY BLVD APT 4, FORT WAYNE, IN 46835-3233
(260) 602-2238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82170
IN
Other
Enumeration date
01/21/2025
Last updated
07/10/2025
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