Individual
ALYSSA ALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14497 N DALE MABRY HWY STE 220N, TAMPA, FL 33618-2058
(813) 374-0442
Mailing address
12202 CLUB DR # 463, TAMPA, FL 33612-5546
(407) 301-4864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/24/2024
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