Individual
ALYSSA ANN VACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 SOUTHWOOD BLVD STE 101, INCLINE VILLAGE, NV 89451-7401
(702) 772-9745
Mailing address
1401 TIPTOP TRL, PAHRUMP, NV 89048-5479
(541) 214-0209
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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