Individual
ALYSSA NICOLE BOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WILLOWDALE DR APT 18, SPARTANBURG, SC 29303-1420
(803) 446-2043
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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