Individual
ALYSE HOPE TODTENKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BELCHERTOWN RD APT 20, AMHERST, MA 01002-2674
(508) 422-6818
Mailing address
4 STEPHEN WAY, FRANKLIN, MA 02038-1597
(508) 422-6818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LKA960142206
BLUE CROSS
MA
Enumeration date
10/13/2022
Last updated
10/13/2022
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