Individual
ALYSSA ZAZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 ARAPAHO RD, DALLAS, TX 75248-3692
(469) 717-4496
Mailing address
861 N COLEMAN ST, PROSPER, TX 75078-2340
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-316462
TX
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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