Individual
MRS. ALYSSA J ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1220 N MOOSE RD, MOUNT MORRIS, IL 61054-9712
(614) 439-3586
Mailing address
1220 N MOOSE RD, MOUNT MORRIS, IL 61054-9712
(614) 439-3586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86683
IL
171M00000X
Case Manager/Care Coordinator
—
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Other
Enumeration date
11/09/2020
Last updated
12/23/2025
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