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Individual

ALYSSIA GARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1831 GOLDEN EAGLE WAY STE 34, FLEMING ISLAND, FL 32003-4340
(904) 579-4779
Mailing address
1831 GOLDEN EAGLE WAY STE 34, FLEMING ISLAND, FL 32003-4340
(904) 579-4779

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL
106S00000X
Behavior Technician

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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