Individual
ALYSSA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 N 2ND ST APT 168, CLARKSVILLE, TN 37040-3420
(909) 780-4252
Mailing address
803 N 2ND ST APT 168, CLARKSVILLE, TN 37040-3420
(909) 780-4252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-209301
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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