Individual
ALYSSA RACHAEL BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
160 W MIDLAND AVE, PARAMUS, NJ 07652-1835
(551) 486-6489
Mailing address
160 W MIDLAND AVE, PARAMUS, NJ 07652-1835
(551) 486-6489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26450
NJ
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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