Individual
ALYANNA MARIE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 E UNIVERSITY BLVD. UNIT 207-1, MELBOURNE, FL 32901
(321) 961-3484
Mailing address
159 E UNIVERSITY BLVD. UNIT 207-1, MELBOURNE, FL 32901
(321) 961-3484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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