Alissa Marie Averill, B.A.

NPI #1396315362 in Lithia, Florida

Provider Information

NPI Number: 1396315362
Entity Type: Individual
Name: Alissa Marie Averill, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: B.A.
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 5454 LITHIA PINECREST RD
City: Lithia
State: Florida
ZIP Code: 33547-2853
Phone: (813) 467-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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