Individual
ALYSSA BOGUNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2014 LINCOLNWAY E STE 3, GOSHEN, IN 46526-6818
(239) 920-3948
Mailing address
56664 SPRING AVE, ELKHART, IN 46516-1775
(269) 845-6447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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