Roark, Alissa

Roark, Alissa is an individual health care provider with primary practice located at 1 Elizabeth Pl Ste Nwb40 , Dayton OH 45417-3445. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Roark, Alissa can be contacted via phone (937) 401-8672.

Contact Information

Primary practice address
1 Elizabeth Pl Ste Nwb40 Dayton OH 45417-3445
Phone: (937) 401-8672
Fax: (937) 853-8029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1326688631
LBN Legal business name Roark, Alissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2020
Last updated Jan 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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