Individual
ALYSSA MATUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
30233 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48076-1362
(800) 273-4292
(714) 596-6274
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194394
MI
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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