Individual
ALYSSA WELCH CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2568 CENTRAL AVE, OLLA, LA 71465
(318) 376-2535
Mailing address
2048 E MADISON AVE, BASTROP, LA 71220-4035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70004
LA
106E00000X
Assistant Behavior Analyst
0-23-14390
LA
Other
Enumeration date
09/08/2023
Last updated
11/14/2024
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