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NPI Code Detail

MEDICARE: ALYSSA HEYER BCBA

MEDICARE: ALYSSA HEYER BCBA
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 TechnicianFL
2103K00000XBehavior Analyst1-23-63769FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003232745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HEYER BCBA
Provider Business Mailing Address
First Line : 2740 N HARBOR CITY BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-6291
Country : US
Telephone Number : 321-622-6884
Fax Number : 321-622-6842
Provider Business Practice Location Address
First Line : 2740 N HARBOR CITY BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-6291
Country : US
Telephone Number : 321-622-6884
Fax Number : 321-622-6842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2014
Last Update Date : 02/06/2023

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Directions to “ ALYSSA HEYER BCBA” Practice Location

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