Most Relevant Information
Provider Data
| NPI Number: | 1003351404 |
| Provider Name: | ERIN ALFONSO |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: | 2022040350 |
Most Important Dates
| Enumeration Date: | 12/21/2016 |
| Last Updated: | 10/07/2022 |
Provider Practice Location
1209 E WALNUT ST
COLUMBIA
MO
652014944
Practice Location Phone/Fax
| Phone: | 6199226265 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |