Individual
ALYSSA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 COLLINGSWOOD BLVD UNIT G, PORT CHARLOTTE, FL 33948-1059
(941) 999-4917
Mailing address
19444 EDGEWATER DR, PORT CHARLOTTE, FL 33948-7727
(570) 994-8214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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