Alyson Maree Geldersma

Individual provider Active NPI Behavior Technician · Copper Center, AK

NPI 1831695048 · NPPES record last updated Apr 5, 2018

Key facts

NPI
1831695048
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
Mile 111.5 Richardson Hwy
Copper Center, AK 99573
Phone
(907) 822-5241
NPI assigned
Apr 5, 2018
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

Mile 111.5 Richardson Hwy
Copper Center, AK 99573

Mailing address

PO Box H
Copper Center, AK 99573-0508
Phone (907) 822-5241

Other names

  • Alyson Maree Flahive Former name

Other providers in Copper Center, AK

All providers in Copper Center, AK · Behavior Technician in Alaska

Sources for this page

Verify at the official NPI Registry.