Individual
ALYSSA JAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7140 PORT SYLVANIA DR, TOLEDO, OH 43617-1176
(567) 408-7242
Mailing address
7140 PORT SYLVANIA DR, TOLEDO, OH 43617-1176
(567) 408-7242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19840
OH
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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