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NPI Code Detail

MEDICARE: ALYSSA NORRIS

MEDICARE: ALYSSA NORRIS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1639000870
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA NORRIS
Provider Business Mailing Address
First Line : 1827 E IRELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46614-2845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 511 W LINCOLN AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-2430
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ ALYSSA NORRIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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