Most Relevant Information
Provider Data
| NPI Number: | 1003569625 |
| Provider Name: | ALYSSA MARIE FANIZZI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2022 |
| Last Updated: | 02/02/2022 |
Provider Practice Location
5415C BACKLICK RD
SPRINGFIELD
VA
221513915
Practice Location Phone/Fax
| Phone: | 7039411910 |
| Fax: |
Provider Mailing Location
5415C BACKLICK RD
SPRINGFIELD
VA
221513915
Provider Mailing Phone/Fax
| Phone: | 7039411910 |
| Fax: |