Healthcare Provider Details

I. General information

NPI: 1972096022
Provider Name (Legal Business Name): ALYSSA K KUHN B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 02/14/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BETHLEHEM PIKE BLDG. D, STE. 100
MONTGOMERYVILLE PA
18936
US

IV. Provider business mailing address

601 BETHLEHEM PIKE BLDG. D, STE. 100
MONTGOMERYVILLE PA
18936
US

V. Phone/Fax

Practice location:
  • Phone: 267-477-1868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: