Alissa Roark

NPI #1326688631 in Dayton, Ohio

Provider Information

NPI Number: 1326688631
Entity Type: Individual
Name: Alissa Roark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 1 ELIZABETH PL STE NWB40
City: Dayton
State: Ohio
ZIP Code: 45417-3445
Phone: (937) 401-8672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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