Alyssa Kate Shock

NPI #1215500350 in North Saint Paul, Minnesota

Provider Information

NPI Number: 1215500350
Entity Type: Individual
Name: Alyssa Kate Shock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 16, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 2344 HELEN ST N
City: North Saint Paul
State: Minnesota
ZIP Code: 55109-2942
Phone: (651) 773-5988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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