Individual
ALYSON MARY INTIHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-8995
(321) 674-8000
Mailing address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-8995
(321) 674-8000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-186949
FL
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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