Individual
ALYSSA RODRIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
7282 STINSON AVE STE B, GIG HARBOR, WA 98335-4930
(253) 858-5846
Mailing address
2250 SIDNEY AVE APT I98, PORT ORCHARD, WA 98366-1969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61130478
WA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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