Most Relevant Information
Provider Data
| NPI Number: | 1003474701 |
| Provider Name: | ALYSSA KATHRYN CASSIERE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2019 |
| Last Updated: | 07/17/2019 |
Provider Practice Location
9120 SPRINGBROOK DR NW
COON RAPIDS
MN
554335845
Practice Location Phone/Fax
| Phone: | 6123319413 |
| Fax: |
Provider Mailing Location
212 HILLTOP LN
SLEEPY HOLLOW
IL
601181842
Provider Mailing Phone/Fax
| Phone: | 6307152338 |
| Fax: |