Individual
ALYSSA MICHELE MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 RUMSEY AVE, CODY, WY 82414-3533
(307) 395-7510
(307) 395-7511
Mailing address
1002 RUMSEY AVE, CODY, WY 82414-3533
(307) 395-7510
(307) 395-7511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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