Individual
ALYSSA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
(817) 549-3172
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(281) 826-3382
(425) 491-7683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73878
OK
106S00000X
Behavior Technician
RBT-19-95665
OK
Other
Enumeration date
08/14/2019
Last updated
06/28/2024
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