Individual
ALYSSA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E LAKE BRANTLEY DR, LONGWOOD, FL 32779-4807
(321) 972-6720
(321) 295-7027
Mailing address
160 E LAKE BRANTLEY DR, LONGWOOD, FL 32779-4807
(321) 972-6720
(321) 295-7027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-317277
FL
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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