Alyssa Medeiros, BCBA
Behavior Analyst in Huber Heights, OH. Individual provider (NPI-1).
NPI number1992375158
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1992375158
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Medeiros
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2021
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-24-75144 | OH | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
4925 Fishburg RdHuber Heights, OH 45424-5306
Phone 937-723-8272 · Fax 937-723-8223
Mailing address
4925 Fishburg RdHuber Heights, OH 45424-5306
Phone 937-723-8272 · Fax 937-723-8223
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 6 Behavior Analyst providers in Huber Heights · All 671 providers in Huber Heights
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