Individual
ALYSSA MAE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 BARLOW ST, TRAVERSE CITY, MI 49686-4250
(231) 268-0007
(231) 525-3120
Mailing address
4960 N DICKERSON RD, MANTON, MI 49663-9223
(231) 577-8669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
12/29/2025
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