Individual
ALYSSA VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 SAND SPIT LN NW, BREMERTON, WA 98312-1465
(831) 524-1292
Mailing address
4201 SAND SPIT LN NW, BREMERTON, WA 98312-1465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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