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NPI Code Detail

MEDICARE: ALYSSA N HANLEY

MEDICARE: ALYSSA N HANLEY
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 Analyst1-26-87088FL

Other Identifiers

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

General Provider Information

NPI Number : 1891488714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA N HANLEY
Provider Business Mailing Address
First Line : 5046 NW 43RD AVE APT 102
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-7601
Country : US
Telephone Number : 352-301-0423
Fax Number :
Provider Business Practice Location Address
First Line : 4907 NW 43RD ST STE C
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-2007
Country : US
Telephone Number : 352-372-0047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2023
Last Update Date : 01/20/2026

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Directions to “ ALYSSA N HANLEY ” Practice Location

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