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Individual

ALYSSA JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
760 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2750
(440) 666-6959
Mailing address
760 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2750

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35239
OH
103K00000X
Behavior Analyst
COBA.00567
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-19-35239
BCBA
OH
01
COBA.00567
COBA
OH
Enumeration date
05/20/2019
Last updated
12/10/2025
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