Individual
ALLYSSA BUCKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 WEST ST # 201, ANNAPOLIS, MD 21401-3954
(410) 673-4965
Mailing address
1919 WEST ST # 201, ANNAPOLIS, MD 21401-3954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
02/27/2024
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