Individual
ALYSSA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18301 N 79TH AVE, GLENDALE, AZ 85308-8463
(623) 230-4080
Mailing address
865 S WATSON RD, BUCKEYE, AZ 85326-3469
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
06/08/2021
Last updated
12/12/2024
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