Individual
ALYSSA MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 223-0485
Mailing address
10075 GATE PKWY N APT 512, JACKSONVILLE, FL 32246-4420
(260) 221-0067
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/09/2022
Last updated
06/13/2025
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