MEDICARE: ALYSSA MARIE RANSCHAERT 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
1	103K00000X	Behavior Analyst	1-25-86439	IN

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	:	1285231837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MARIE RANSCHAERT BCBA

Provider Business Mailing Address
First Line	:	2014 LINCOLNWAY E STE 3
Second Line	:
City	:	GOSHEN
State	:	IN
Zip	:	46526-6818
Country	:	US
Telephone Number	:	239-920-3948
Fax Number	:	941-485-0319

Provider Business Practice Location Address
First Line	:	2014 LINCOLNWAY E STE 3
Second Line	:
City	:	GOSHEN
State	:	IN
Zip	:	46526-6818
Country	:	US
Telephone Number	:	239-920-3948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	01/19/2026

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