NPI 1114636271

Alyssa Conolly

Practitioner Behavior Technician Fairport, NY

Practice location

Address: 6 N Main St, Fairport, NY 14450-1524
Phone: (585) 377-6590
Mailing address: 21600 Oxnard St, Woodland Hills, CA 91367-4976

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1114636271
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2022
Record last updated: 17 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.