Lisa Ann Alyea, M.ED, M.S.

Individual provider Active NPI Behavior Technician · San Diego, CA

NPI 1124752134 · NPPES record last updated Jul 14, 2022

Key facts

NPI
1124752134
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Jul 14, 2022
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
Credentials
Master of Education, Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

501 W Broadway Ste 800
San Diego, CA 92101-3546

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978

Other providers in San Diego, CA

All providers in San Diego, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.