Most Relevant Information
Provider Data
| NPI Number: | 1003513045 |
| Provider Name: | ALYSSA TOVAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2023 |
| Last Updated: | 02/09/2023 |
Provider Practice Location
11602 N 51ST ST
TAMPA
FL
336172132
Practice Location Phone/Fax
| Phone: | 8135487259 |
| Fax: |
Provider Mailing Location
11602 N 51ST ST
TAMPA
FL
336172132
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |