Alyissa D Hentz

NPI #1245078617 in Herrin, Illinois

Provider Information

NPI Number
1245078617
Entity Type
Individual
Name
Alyissa D Hentz
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jul 18, 2024
Last Updated
Jul 18, 2024

Practice Location

Address
3022 S PARK AVE STE B
City
Herrin
ZIP Code
62948-3721
Phone
(217) 525-8332

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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