Individual
ALYSSA HEAVEN ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10419 CALUMET AVE STE B, MUNSTER, IN 46321-4059
(219) 301-9715
Mailing address
902 174TH PL, HAMMOND, IN 46324-2720
(219) 301-9715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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