MEDICARE: ALICIA R PIERSON

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		WI

General Provider Information

NPI Number	:	1508727843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA R PIERSON

Provider Business Mailing Address
First Line	:	7623 W GLENBROOK RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-1006
Country	:	US
Telephone Number	:	262-416-2581
Fax Number	:

Provider Business Practice Location Address
First Line	:	7623 W GLENBROOK RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-1006
Country	:	US
Telephone Number	:	262-416-2581
Fax Number	:

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

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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Directions to “ ALICIA R PIERSON ” Practice Location

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