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Individual

ALYSSA MARIE LIPPUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 MOUNT ZION PKWY, MORROW, GA 30260-3312
(216) 246-7815
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
08/07/2020
Last updated
04/13/2023
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