Individual
ALYSSA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 SE 100TH PL, BELLEVIEW, FL 34420-3013
(352) 559-2539
Mailing address
4611 SE 100TH PL, BELLEVIEW, FL 34420-3013
(352) 559-2539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
03/06/2024
Last updated
09/23/2024
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