Individual
MRS. ALYSSA RENEE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 875-5881
Mailing address
7001 EAST PKWY, SACRAMENTO, CA 95823-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
RBT-18-65938
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2018
Last updated
02/16/2026
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