MEDICARE: ALINA SLATERPRYCE BCBA

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	103K00000X	Behavior Analyst	1073722	FL

General Provider Information

NPI Number	:	1457644528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA SLATERPRYCE BCBA

Provider Business Mailing Address
First Line	:	160 POSSUM PASS
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-2227
Country	:	US
Telephone Number	:	561-714-7278
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 POSSUM PASS
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-2227
Country	:	US
Telephone Number	:	561-714-7278
Fax Number	:

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

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	02/28/2023

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