Most Relevant Information
Provider Data
NPI Number: | 1003590696 |
Provider Name: | ALYSSA COLLINS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 06/14/2023 |
Last Updated: | 06/14/2023 |
Provider Practice Location
1500 S HAVEN AVE
ONTARIO
CA
917612969
Practice Location Phone/Fax
Phone: | 9097495204 |
Fax: |
Provider Mailing Location
1500 S HAVEN AVE
ONTARIO
CA
917612969
Provider Mailing Phone/Fax
Phone: | 9097495204 |
Fax: |