Alissa Salvora Austin
Individual provider Active NPI Behavior Technician · Poplar Bluff, MO
NPI 1104525583 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1104525583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3001 Warrior LN
Poplar Bluff, MO 63901-8685 - Phone
- (573) 686-1200
- NPI assigned
- Feb 24, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Mailing address
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Phone (573) 686-1200
Other providers in Poplar Bluff, MO
- Ashlar Holdings LLC
- Ashlar Medical, LLC
- Ashlar Professional
- Aspire Senior Living Poplar Bluff, LLC
- Courtney Mikel Atkinson
- Amelia Salvora Austin
- Jaysa Rache'L Austin
- Meighan Austin
- Autism & Behavior Consultants,LLC
- Sharon Joseph Aykara
All providers in Poplar Bluff, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. 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.