Individual
ALYSSA GRACE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3317 MASONBORO LOOP RD, WILMINGTON, NC 28409-2971
(910) 599-2230
Mailing address
3726 EXCALIBUR WAY APT 205, WILMINGTON, NC 28403-2596
(704) 909-8100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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