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Individual

ALYSSA NEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-21-153979
FL
106S00000X
Behavior Technician
Primary
RBT-21-153979
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110122600
FL
Enumeration date
08/05/2021
Last updated
04/27/2026
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