Individual
ALYSSA JANAY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 TECH BLVD STE 122, TAMPA, FL 33619-7822
(813) 305-2867
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-156695
FL
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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