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NPI Code Detail

MEDICARE: ALYSA WILKERSON RBT

MEDICARE: ALYSA WILKERSON RBT
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 TechnicianTX

General Provider Information

NPI Number : 1982418224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSA WILKERSON RBT
Provider Business Mailing Address
First Line : 2111 WEST LOOP S
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3646
Country : US
Telephone Number : 281-296-2131
Fax Number :
Provider Business Practice Location Address
First Line : 2111 WEST LOOP S STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3647
Country : US
Telephone Number : 281-296-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2025
Last Update Date : 02/06/2025

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Directions to “ ALYSA WILKERSON RBT” Practice Location

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