Individual
ALYSSA L YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24-QMHP-R-2754
OR
103K00000X
Behavior Analyst
ABA-B-10225021
OR
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
09/05/2018
Last updated
11/08/2024
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