Most Relevant Information
Provider Data
| NPI Number: | 1003222894 |
| Provider Name: | ALYSA DAIGLE MS/CAGS, NCSP |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2014 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
8270 WILLOW OAKS CORPORATE DR
FAIRFAX
VA
220314511
Practice Location Phone/Fax
| Phone: | 7819537010 |
| Fax: |
Provider Mailing Location
8270 WILLOW OAKS CORPORATE DR
FAIRFAX
VA
220314511
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |