Black, Alyssa

Black, Alyssa is an individual health care provider with primary practice located at 7800 Sw Barbur Blvd Bldg 2 , Portland OR 97219-2823. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Black, Alyssa can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
7800 Sw Barbur Blvd Bldg 2 Portland OR 97219-2823
Phone: (818) 241-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063095495
LBN Legal business name Black, Alyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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