Individual
MISS ALYSSA E ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W ALLEGAN ST, OTSEGO, MI 49078-1115
(844) 244-1818
Mailing address
212 TUDOR CIR APT 121, PORTAGE, MI 49024-1394
(269) 436-0702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/28/2023
Last updated
09/24/2024
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