Healthcare Provider Details

I. General information

NPI: 1841906161
Provider Name (Legal Business Name): ALAYSHA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 VONDERBURG DR STE 201
BRANDON FL
33511-5900
US

IV. Provider business mailing address

5934 BRICKLEBERRY LN UNIT 204
ZEPHYRHILLS FL
33541-0937
US

V. Phone/Fax

Practice location:
  • Phone: 813-653-1149
  • Fax:
Mailing address:
  • Phone: 866-610-0580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: