Individual
ALLYSON LEIGH SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3766 HIGHWAY 17 SUITE 301, RICHMOND HILL, GA 31324-3132
(904) 538-0713
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-72971
—
Other
Enumeration date
12/18/2018
Last updated
02/19/2020
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