Individual
ALYSSA NICOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11476 S APOPKA VINELAND RD STE 118, ORLANDO, FL 32836-7006
(407) 955-4001
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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