Individual
ALYSSA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9130 UNIVERSITY CITY BLVD., CHARLOTTE, NC 28213
(470) 751-4642
Mailing address
10125 PINESHADOW DR APT T102, CHARLOTTE, NC 28262-1167
(864) 612-2617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-328314
—
Other
Enumeration date
12/20/2023
Last updated
02/21/2024
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