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Alyssa Cassidy Davies

Behavior Technician in Prudenville, MI. Individual provider (NPI-1).

NPI number1689340242
StatusActive
Last updated in NPPESAug 23, 2021

Details

NPI
1689340242
Entity type
Individual (NPI-1)
Name
Alyssa Cassidy Davies
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2021
Certification date
Aug 23, 2021
Last updated
Aug 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1070 W Houghton Lake Dr
Prudenville, MI 48651-9613

Phone 989-202-4900

Mailing address

1070 W Houghton Lake Dr
Prudenville, MI 48651-9613

Phone 989-202-4900

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