Individual
ALAYNA MARY VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5726 SOUTHWYCK BLVD STE 115, TOLEDO, OH 43614-1510
(419) 708-0441
Mailing address
19077 KELLOGG RD, BOWLING GREEN, OH 43402-9734
(419) 377-3302
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UU517897
DRIVERS LICENSE
OH
Enumeration date
05/18/2021
Last updated
05/18/2021
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