MEDICARE: ALLYSON JOY SAWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	25-495763	WY

General Provider Information

NPI Number	:	1316800444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON JOY SAWYER

Provider Business Mailing Address
First Line	:	1575 N 4TH ST STE 105
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82072-2091
Country	:	US
Telephone Number	:	307-212-3284
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 N 4TH ST STE 105
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82072-2091
Country	:	US
Telephone Number	:	307-212-3284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ ALLYSON JOY SAWYER ” Practice Location

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