Individual
ALYSSA JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PARKMOOR AVE, 208, SAN JOSE, CA 95126-3403
(408) 241-9911
Mailing address
1401 PARKMOOR AVE, 208, SAN JOSE, CA 95126-3403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
01/24/2017
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