Individual
ALYSSA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(734) 530-3907
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1250245822
—
MI
Enumeration date
12/27/2021
Last updated
03/23/2022
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