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Individual

ALYSSA SHAELYN MILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15140VBADGER RANCH BLVD, SUITE #301 & #302, WOODWAY, TX 76712
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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