Individual
ALISSA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL STE NWB40, DAYTON, OH 45417-3445
(937) 401-8672
(937) 853-8029
Mailing address
1 ELIZABETH PL STE NWB40, DAYTON, OH 45417-3445
(937) 401-8672
(937) 853-8029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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