Individual
ALISSA MCKINNEY PASSIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
(765) 282-2820
Mailing address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
(765) 282-2820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-65094
IN
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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