Individual
ALYSSA HEITZENRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC, LPC
Contact information
Practice address
38 N SCOTT ST, CARBONDALE, PA 18407-1888
(570) 281-6340
Mailing address
38 N SCOTT ST, CARBONDALE, PA 18407-1888
(570) 281-6340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000959
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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