Individual
ALYSSA ROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6639 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(985) 607-8014
Mailing address
6639 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BPQ201845014
BLUE CROSS BLUE SHIELD
LA
Enumeration date
01/08/2020
Last updated
01/08/2020
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