Individual
ALYSSA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
6851102940
MI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
02/06/2023
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