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NPI Code Detail

MEDICARE: ALYSSA ELIZABETH BOYE

MEDICARE: ALYSSA ELIZABETH BOYE
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 Technician
2170300000XGenetic Counselor (M.S.)NY

General Provider Information

NPI Number : 1164006805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ELIZABETH BOYE
Provider Business Mailing Address
First Line : 1360 PORTER ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1360 PORTER ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2890
Country : US
Telephone Number : 313-689-5188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 01/06/2026

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Directions to “ ALYSSA ELIZABETH BOYE ” Practice Location

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