Individual
ALYSIA BRIANNA GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 W CHEESMAN RD, ALMA, MI 48801-8757
(989) 285-1692
Mailing address
628 W BROOMFIELD ST APT 6, MT PLEASANT, MI 48858-4578
(989) 289-1572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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