Individual
ALISSA PAVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
(616) 741-9466
Mailing address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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