Most Relevant Information
Provider Data
| NPI Number: | 1003488081 |
| Provider Name: | ALYSSA ANNE CARROLL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2021 |
| Last Updated: | 07/11/2021 |
Provider Practice Location
1015 NW 56TH TER
GAINESVILLE
FL
326054481
Practice Location Phone/Fax
| Phone: | 3528355520 |
| Fax: | 3523632956 |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |