Emalie Lis
Behavior Technician in Alpena, MI. Individual provider (NPI-1).
NPI number1609730258
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1609730258
- Entity type
- Individual (NPI-1)
- Name
- Emalie Lis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
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
350 Pinecrest StAlpena, MI 49707-1328
Phone 989-278-8878
Mailing address
2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791
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 87 Behavior Technician providers in Alpena · All 945 providers in Alpena
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