Individual
ALLYSON E PAVLACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3410
(316) 267-5444
Mailing address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3410
(316) 267-5444
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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