ALYSSA BLACK BLACK

Behavior Technician

Active Individual
NPI: 1114665650

Practice Address

8200 HAVEN AVE APT 4204
Rancho Cucamonga, CA 91730

Phone: (909) 484-2848

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114665650 is the National Provider Identifier for ALYSSA BLACK BLACK, a Behavior Technician provider located in Rancho Cucamonga, CA. This NPI was enumerated on May 24, 2022.
ALYSSA BLACK BLACK practices at 8200 HAVEN AVE APT 4204, Rancho Cucamonga, CA 91730.

Quick Facts

NPI
1114665650
Type
Individual
Enumerated
May 24, 2022
Last Updated
May 24, 2022

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