Individual
ALYSSA CARIN RICKENBRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 CENTER PLACE WAY, SAINT AUGUSTINE, FL 32095-8859
(904) 907-4831
Mailing address
180 CENTER PLACE WAY, SAINT AUGUSTINE, FL 32095-8859
(904) 907-4831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-303085
FL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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