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NPI Code Detail

MEDICARE: ALYSSA STILES

MEDICARE: ALYSSA STILES
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

General Provider Information

NPI Number : 1760315600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA STILES
Provider Business Mailing Address
First Line : 1211 MAGNOLIA CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1397
Country : US
Telephone Number : 405-237-3515
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MAGNOLIA CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1397
Country : US
Telephone Number : 405-237-3515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ ALYSSA STILES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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