Maya Alvarado, RBT

Individual provider Active NPI Behavior Technician · De Pere, WI

NPI 1164025797 · NPPES record last updated Nov 17, 2020

Key facts

NPI
1164025797
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2073 Lawrence Dr
De Pere, WI 54115-9106
Phone
(920) 351-3027
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Behavioral Pediatrics Inc Past
since Nov 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2073 Lawrence Dr
De Pere, WI 54115-9106

Mailing address

2073 Lawrence Dr
De Pere, WI 54115-9106
Phone (920) 351-3027

Other providers in De Pere, WI

All providers in De Pere, WI · Behavior Technician in Wisconsin

Sources for this page

Verify at the official NPI Registry.