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Carissa Alleva

Behavior Technician in Gresham, OR. Individual provider (NPI-1).

NPI number1114651312
StatusActive
Last updated in NPPESJul 13, 2022

Details

NPI
1114651312
Entity type
Individual (NPI-1)
Name
Carissa Alleva
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2022
Certification date
Jul 13, 2022
Last updated
Jul 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1851 Nw Civic Dr
Gresham, OR 97030-5566

Phone 719-299-2178

Mailing address

1851 Nw Civic Dr
Gresham, OR 97030-5566

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