Individual
ALYSSA DEVALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1500 N CASALOMA DR STE 306, APPLETON, WI 54913-8220
(920) 205-0475
(920) 486-6240
Mailing address
1995 DREAMFIELD LN, MENASHA, WI 54952-9477
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
478-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056956
—
WI
Enumeration date
11/15/2022
Last updated
11/15/2022
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