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NPI Code Detail

MEDICARE: ALYSSA TOWNSEND

MEDICARE:   ALYSSA  TOWNSEND
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1245805449
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA TOWNSEND
Provider Business Mailing Address
First Line : 720 SAINT JAMES DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-2937
Country : US
Telephone Number : 910-660-8200
Fax Number : 910-660-8199
Provider Business Practice Location Address
First Line : 32326 CLINTON KEITH RD STE 201
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-7317
Country : US
Telephone Number : 951-528-2148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 06/04/2026

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Directions to “ ALYSSA TOWNSEND ” Practice Location

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