Individual
ALYSSA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
(866) 822-7464
Mailing address
4577 HORIZON CIR, EAGAN, MN 55123-1888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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