Alyssa Kassandra Mora
Behavior Technician in La Crosse, WI. Individual provider (NPI-1).
NPI number1982195996
StatusActive
Last updated in NPPESMay 24, 2018
Details
- NPI
- 1982195996
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Kassandra Mora
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2018
- Last updated
- May 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
901 Caledonia StLa Crosse, WI 54603-2616
Phone 608-495-2173
Mailing address
433 10th St NLa Crosse, WI 54601-3466
Phone 608-495-2173
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All 380 Behavior Technician providers in La Crosse · All 4,035 providers in La Crosse
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