Individual
ALYSSA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6831 PROSPERITY LN, POWELL, OH 43065-0350
(419) 341-7901
Mailing address
6831 PROSPERITY LN, POWELL, OH 43065-0350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-49994
OH
103TS0200X
School Psychologist
Primary
OH3227777
OH
Other
Enumeration date
08/10/2016
Last updated
07/24/2023
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