Most Relevant Information
Provider Data
| NPI Number: | 1003414731 |
| Provider Name: | ALYSSA ARIEMMA BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-45221 |
Most Important Dates
| Enumeration Date: | 10/14/2020 |
| Last Updated: | 10/14/2020 |
Provider Practice Location
318 HOOVER AVE APT 61
BLOOMFIELD
NJ
070033957
Practice Location Phone/Fax
| Phone: | 8622261150 |
| Fax: |
Provider Mailing Location
318 HOOVER AVE APT 61
BLOOMFIELD
NJ
070033957
Provider Mailing Phone/Fax
| Phone: | 8622261150 |
| Fax: |