Garcia, Alyssa

Garcia, Alyssa is an individual health care provider with primary practice located at 738 S Bridgeway Pl Ste 150 , Eagle ID 83616-6953. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Garcia, Alyssa can be contacted via phone (208) 210-4442.

Contact Information

Primary practice address
738 S Bridgeway Pl Ste 150 Eagle ID 83616-6953
Phone: (208) 210-4442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-121897 Colorado
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-236938 Idaho

Profile Details

NPI number 1609490655
LBN Legal business name Garcia, Alyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2020
Last updated Jan 17th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609490655 NPPES
Colorado MEDICAID 1609490655

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