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Individual

ALYSSA CORCHADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704
Mailing address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-185985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122534800
FL
Enumeration date
09/24/2021
Last updated
07/08/2024
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