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General NPI Number Information
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NPI Number | 1760286603
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Entity Type | Individual
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Provider Name | ALYSSA C CALISE
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 400 E PRATT ST FL 8
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City | BALTIMORE
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State | MD
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Zip | 21202-3180
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Country | US
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Telephone | 443-543-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 140 PINE CONE DR
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City | DOVER
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State | DE
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Zip | 19901-1972
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Country | US
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Telephone | 302-943-2080
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Fax | 302-943-2080
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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