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Individual

ALYSSA SNODGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6196 LAKE GRAY BLVD STE 111, JACKSONVILLE, FL 32244-5867
(904) 412-8542
Mailing address
1413 COURSE VIEW DR, FLEMING ISLAND, FL 32003-7274

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
01/07/2026
Last updated
01/07/2026
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