Alissa Roberson
Behavior Technician in Kokomo, IN. Individual provider (NPI-1).
NPI number1104724855
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1104724855
- Entity type
- Individual (NPI-1)
- Name
- Alissa Roberson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2026
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
612 E BoulevardKokomo, IN 46902-2271
Phone 765-461-1245
Mailing address
612 E BoulevardKokomo, IN 46902-2271
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 630 Behavior Technician providers in Kokomo · All 2,349 providers in Kokomo
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