Individual
ALYSSA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W SUNSET RD, SAN ANTONIO, TX 78209-2633
(254) 833-3700
Mailing address
840 PROSPECTOR TRL, HARKER HEIGHTS, TX 76548-2700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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