Individual
ALICIA NICOLE ALTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 LAKE RD APT E, KILLEEN, TX 76543-3311
(570) 218-9883
Mailing address
4304 LAKE RD APT E, KILLEEN, TX 76543-3311
(570) 218-9883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
39267256
TX
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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