Individual
ALYSSA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Mailing address
515 CENTRAL AVE, HAMMONTON, NJ 08037-1640
(856) 689-2541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12148217
NJ
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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