Individual
ALYSSA NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 PARK CIR, HAINES CITY, FL 33844-9592
(863) 236-1153
Mailing address
3051 PARK CIR, HAINES CITY, FL 33844-9592
(863) 236-1153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/12/2023
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