Most Relevant Information
Provider Data
| NPI Number: | 1003317462 |
| Provider Name: | ALYSSA ANN HOLCOMB |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
1169 EASTERN PKWY STE G1111
LOUISVILLE
KY
402171462
Practice Location Phone/Fax
| Phone: | 5022429091 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST
WOODLAND HILLS
CA
913674976
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |