Individual
ALLYSSA MARIE MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
(239) 984-4372
Mailing address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
(239) 984-4372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
08/09/2024
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