Individual
ALYSSA PAGONE - WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3646 OLD ISRAEL RD, LIVINGSTON, TX 77351-0196
(936) 252-2602
Mailing address
3646 OLD ISRAEL RD, LIVINGSTON, TX 77351-0196
(936) 252-2602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17792
TX
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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