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Individual

ALYSSA NUBGAARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
65 THOMAS JOHNSON DR STE A, FREDERICK, MD 21702-4371
(301) 662-3808
Mailing address
65 THOMAS JOHNSON DR STE A, FREDERICK, MD 21702-4371
(301) 662-3808

Taxonomy

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

Other

Enumeration date
08/19/2020
Last updated
11/04/2024
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