Individual
ALYSSA KEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4000 HOLLYWOOD BLVD STE 555S, HOLLYWOOD, FL 33021-6853
(954) 400-3251
Mailing address
3881 NW 78TH WAY, CORAL SPRINGS, FL 33065-3030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
FL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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