Alisa Garner

NPI #1912493800 in Sullivan, Missouri

Provider Information

NPI Number: 1912493800
Entity Type: Individual
Name: Alisa Garner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 3, 2018
Last Updated: Jul 3, 2018

Practice Location

Address: 122 W SPRINGFIELD RD
City: Sullivan
State: Missouri
ZIP Code: 63080-1524
Phone: (573) 205-9686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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