Alyssa Neelis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10031 Spencer
Brighton, MI 48114-3806

Phone

(810) 344-8082

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Annedon Brighton LLC

  dba Strive Centers for Autism

  • Behavior Analyst
  • Brighton, MI
  • NPI 1770980112
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1013648625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 SPENCER ROAD",
            "address_2": "SUITE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481143806",
            "telephone_number": "810-344-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 SPENCER",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481143806",
            "telephone_number": "810-344-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELIS",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaygan Renae Nast, M.A., BCBA, LBA
• National Vision Inc (America's Best Contacts & Eyeglasses)
• National Vision, Inc. (Eyeglass World)
• Gregg Ervin Natkowski, LPC, LLP, CAADC
• Richard L. Neal, PA-C
• Hannah Neff, PHARM D
• Jerry Michael Nehr Jr., LPC
• Caitlin Nelson, LPC
• Kristine K Nelson, LMSW
• Taylor Nesselroad, MD

• Behavior Technician in Brighton, MI
• Providers in Brighton, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.