Individual
ALYSSA LEIGH KASBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 E SUNNYOAKS AVE, SUITE 207, CAMPBELL, CA 95008-6639
(408) 455-6474
Mailing address
125 E SUNNYOAKS AVE, SUITE 207, CAMPBELL, CA 95008-6639
(408) 455-6474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18095
CA
Other
Enumeration date
08/31/2015
Last updated
09/15/2015
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