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Individual

MS. ALYSSA WAYVE TALKINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
505 E COMMONWEALTH AVE, FULLERTON, CA 92832-4009
(714) 773-0077
Mailing address
1435 N HARBOR BLVD # 124, FULLERTON, CA 92835-4105
(714) 773-0077

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13938
CA

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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