Alyssa Jade Earley
Individual provider Active NPI Behavior Technician · Murfreesburo, TN
NPI 1841046471 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1841046471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 147538855 (TN)
- Practice address
- 4005 Cedar Glades Drive
Unit a
Murfreesburo, TN 37128 - Phone
- (615) 560-6622
- NPI assigned
- Apr 25, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147538855 | TN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 147538855 | TN | Yes |
Addresses
Primary practice location
4005 Cedar Glades Drive
Unit a
Murfreesburo, TN 37128
Mailing address
2302 Medford Campbell Blvd
Murfreesburo, TN 37127
Phone (205) 451-5482
Other providers in Murfreesburo, TN
All providers in Murfreesburo, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. 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.