Alyson Terese Detig, BCBA
Individual provider Active NPI Behavior Analyst · Stirling, NJ
NPI 1003264565 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1003264565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 11521250 (NJ)
- Practice address
- 1071 Valley Rd
Stirling, NJ 07980-1523 - Phone
- (906) 604-6500
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11521250 | NJ | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11521250 | NJ | Yes |
Addresses
Primary practice location
1071 Valley Rd
Stirling, NJ 07980-1523
Mailing address
35 Walton Ave
New Providence, NJ 07974-1745
Phone (908) 723-6380
Other providers in Stirling, NJ
- Lou Grace Tan Cua
- Sarah E Cullinane
- Denise D'Urso
- Jaimie Amanda Decker
- Kirsten Desiato
- Stewart Diaz
- Leah Dipillo
- Robert Joseph Dorsi Jr.
- Dorsi'S Deli & Pharmacy Inc
- Drug Fair Group, Inc.
All providers in Stirling, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.