Individual
MS. ALYSSA LIDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
2288 BLUE WATER BLVD STE 310, ODENTON, MD 21113-3301
(410) 874-7338
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/29/2018
Last updated
01/19/2023
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