Individual
ALYSSA GEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5522 LONE STAR PKWY, SAN ANTONIO, TX 78253-6719
(855) 782-7822
Mailing address
1001 KAMOKILA BLVD, KAPOLEI, HI 96707-2014
(808) 591-6060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
02/28/2023
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