Provider Demographics
NPI:1871887240
Name:FESSER, ALANNA (MA)
Entity type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:
Last Name:FESSER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 SW 72ND ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5427
Mailing Address - Country:US
Mailing Address - Phone:305-662-6448
Mailing Address - Fax:305-662-6448
Practice Address - Street 1:9415 SW 72ND ST
Practice Address - Street 2:SUITE 131
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5427
Practice Address - Country:US
Practice Address - Phone:305-662-6448
Practice Address - Fax:305-662-6448
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL201691522103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst