Alysa Lynn Balcom
Behavior Technician in Cadillac, MI. Individual provider (NPI-1).
NPI number1679287247
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1679287247
- Entity type
- Individual (NPI-1)
- Name
- Alysa Lynn Balcom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
932 N Mitchell StCadillac, MI 49601-1285
Phone 844-854-1116
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-854-1116
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All 89 Behavior Technician providers in Cadillac · All 855 providers in Cadillac
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