Individual
ALYSSA M CABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6486 ILLAHEE RD NE UNIT B, BREMERTON, WA 98311-8221
(619) 395-3641
Mailing address
6486 ILLAHEE RD NE UNIT B, BREMERTON, WA 98311-8221
(619) 395-3641
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
106S00000X
WA
106S00000X
Behavior Technician
Primary
106S00000X
WA
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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