Carissa Danielle Alfonso
Behavior Analyst in Lakeland, FL. Individual provider (NPI-1).
NPI number1962176065
StatusActive
Last updated in NPPESSep 16, 2026
Details
- NPI
- 1962176065
- Entity type
- Individual (NPI-1)
- Name
- Carissa Danielle Alfonso
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Sep 16, 2026
- Last updated
- Sep 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-24-73508 | FL | Yes |
| 106S00000X | Behavior Technician | 21178626 | FL |
Practice location
160 Fitzgerald Rd Ste 3Lakeland, FL 33813-2618
Phone 863-816-4253 · Fax 863-248-8809
Mailing address
160 Fitzgerald Rd Ste 3Lakeland, FL 33813-2618
Phone 863-816-4253 · Fax 863-248-8809
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