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Individual

ALYSSA MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 427-3825
Mailing address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 427-3825
(512) 260-7220

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0624
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-22-57773
BACB
NV
01
LBA0624
STATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS
NV
Enumeration date
09/11/2019
Last updated
10/17/2023
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