Individual
ALYSSA MARIE RUISARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 LINCOLNWAY E, GOSHEN, IN 46526-6818
(800) 210-0814
Mailing address
2014 LINCOLNWAY E, GOSHEN, IN 46526-6818
(800) 210-0814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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