Individual
CARISSA DANIELLE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 S FALKENBURG RD, RIVERVIEW, FL 33578-2554
(877) 864-2208
Mailing address
2906 S FALKENBURG RD, RIVERVIEW, FL 33578-2554
(877) 864-2208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73508
FL
106S00000X
Behavior Technician
21178626
FL
Other
Enumeration date
08/03/2021
Last updated
06/18/2024
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