Individual
ALYSSA N WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE 160TH AVE # 154, VANCOUVER, WA 98684-8911
(866) 523-4268
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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