Alysa Marie Urena

NPI #1114428307 in Saint Robert, Missouri

Provider Information

NPI Number: 1114428307
Entity Type: Individual
Name: Alysa Marie Urena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 496 OLD ROUTE 66
City: Saint Robert
State: Missouri
ZIP Code: 65584-3728
Phone: (573) 246-6164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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