MEDICARE: ALPHA BEHAVIOR SOLUTIONS

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
1	103K00000X	Behavior Analyst

Other Identifiers

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

General Provider Information

NPI Number	:	1235665217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA BEHAVIOR SOLUTIONS

Provider Business Mailing Address
First Line	:	619 NE LIMA VIAS
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6635
Country	:	US
Telephone Number	:	954-559-7987
Fax Number	:	772-673-0334

Provider Business Practice Location Address
First Line	:	619 NE LIMA VIAS
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6635
Country	:	US
Telephone Number	:	954-559-7987
Fax Number	:	772-673-0334

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA ANNE MCCLUNG
Credential	:	M.S., BCBA
Telephone Number	:	954-559-7987

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	04/06/2026

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Directions to “ALPHA BEHAVIOR SOLUTIONS ” Practice Location

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