Individual provider · NPI-1

Alliyah Bryant

Peer Specialist · Tempe, AZ

NPI number1841937075
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1841937075
Entity type
Individual (NPI-1)
Name
Alliyah Bryant
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–AZYes
106S00000X Behavior Technician––
171M00000X Case Manager/Care Coordinator––

Practice location

1330 W Auto Dr
Tempe, AZ 85284-1017

Phone 480-553-7153

Mailing address

1330 W Auto Dr
Tempe, AZ 85284-1017

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