Individual
ALYSSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29566 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-1036
(833) 328-8476
Mailing address
29566 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-1036
(833) 328-8476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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