Allysa Nicole Boswell
Individual provider Active NPI Behavior Technician · Leavenworth, KS
NPI 1346989837 · NPPES record last updated Jun 2, 2022
Key facts
- NPI
- 1346989837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1719 Metropolitan Ave
Leavenworth, KS 66048-1124 - Phone
- (913) 250-5634
- Fax
- (913) 250-6561
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Center for Autism and Child Development, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1719 Metropolitan Ave
Leavenworth, KS 66048-1124
Mailing address
1719 Metropolitan Ave
Leavenworth, KS 66048-1124
Phone (913) 250-5634
Other providers in Leavenworth, KS
- Melanie Bolinger
- Nicole Bond
- Sandra Marie Bond
- Ronald R Booth
- Jana Borgmeyer
- Mitchell William Bowen
- Samantha Bowsher
- Lisa Bozzoli
- Darren Bradfield
- Natalie B. Bradish
All providers in Leavenworth, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2022. 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.