Individual
ALYSSA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CAPCOM AVE STE 101, WAKE FOREST, NC 27587-6531
(919) 907-3687
Mailing address
1194 SER J DR, FRANKLINTON, NC 27525-9750
(907) 602-7313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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