Individual
ALISSA CARRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7501 W DAKOTA ST, MILWAUKEE, WI 53219-2833
(414) 750-4845
Mailing address
7501 W DAKOTA ST, MILWAUKEE, WI 53219-2833
(414) 750-4845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
75-140
WI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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