Alyssa J Mount
Behavior Technician in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1164091286
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1164091286
- Entity type
- Individual (NPI-1)
- Name
- Miss Alyssa J Mount
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 103k00000X | CA | Yes |
Practice location
710 S Broadway Ste 250Walnut Creek, CA 94596-5234
Phone 925-968-8684
Mailing address
3967 Mead StAntioch, CA 94531-6746
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