ALYSSA LOREN BLAKE

KENNESAW, GA
NPI1285525642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-25-477431)
Enumeration Date2025-07-14
Last Update Date2026-06-08
Business Address
ALYSSA LOREN BLAKE
3330 CHASTAIN MEADOWS PKWY NW STE 200
KENNESAW, GA 30144-5881
Phone number: 678-648-7644
Mailing Address
ALYSSA LOREN BLAKE
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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