Alyssa Lidard, BT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2288 Blue Water Blvd Ste 310
Odenton, MD 21113-3301

Phone

(410) 874-7338

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

Practice roles

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.

• Abintra Breakthrough Services, LLC

  • Behavior Analyst
  • Stevensville, MD
  • NPI 1598122921
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1477044139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 BLUE WATER BLVD STE 310",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133301",
            "telephone_number": "410-874-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Love Point Rd",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MD",
            "postal_code": "216662131",
            "country_code": "US",
            "telephone_number": "410-714-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDARD",
        "first_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lewis, BCBA
• LHMG Medical Group, LLC
• LHMG Physical Therapy, LLC
• LHMG Physical Therapy, LLC
• Melanie L Libebe, LCSW-C
• LMN-OT Pediatrics LLC
• LMN-OT Pediatrics LLC
• Wendy S Loftis, RPH
• Susan D Luber, DPT
• Laura Venables Lubin, OTR

• Behavior Analyst in Odenton, MD
• Providers in Odenton, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.