Most Relevant Information
Provider Data
NPI Number: | 1003560533 |
Provider Name: | ALYSSA LIANGJOKECHAI |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/03/2022 |
Last Updated: | 02/03/2022 |
Provider Practice Location
1614 AVENUE M STE 42
LUBBOCK
TX
794014952
Practice Location Phone/Fax
Phone: | 8558326727 |
Fax: |
Provider Mailing Location
2408 MAC DAVIS LN APT 1228
LUBBOCK
TX
794012221
Provider Mailing Phone/Fax
Phone: | |
Fax: |