Alecia Allison

Individual provider Active NPI Developmental Therapist · North Lauderdale, FL

NPI 1659016830 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1659016830
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
6701 Stardust
North Lauderdale, FL 33068-3850
Phone
(954) 405-6879
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Foundations Therapy, Inc. Past
since May 1, 2022
Accepting new patients
Foundations Therapy, Inc. Past
since May 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

6701 Stardust
North Lauderdale, FL 33068-3850

Mailing address

6701 Stardust
North Lauderdale, FL 33068-3850
Phone (954) 405-6879

Other providers in North Lauderdale, FL

All providers in North Lauderdale, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.