Alyssa Douglas

NPI #1073082160 in Stafford, Virginia

Provider Information

NPI Number: 1073082160
Entity Type: Individual
Name: Alyssa Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 12 MONUMENT DR
City: Stafford
State: Virginia
ZIP Code: 22554-8508
Phone: (540) 383-7133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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