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Individual

ALLYSSA MINICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701
(413) 204-9941
Mailing address
4420 WHEATBUD WAY, JOSHUA, TX 76058-4599
(413) 204-9941

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/23/2014
Last updated
04/29/2025
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