Individual
ALYSSA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2785 S BAY ST STE A, EUSTIS, FL 32726-6591
(844) 668-6222
(888) 975-0599
Mailing address
PO BOX 963, MOUNT DORA, FL 32756-0963
(844) 668-6222
(888) 975-0599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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