Newsome, Alyssa

Newsome, Alyssa is an individual health care provider with primary practice located at 51145 Nicolette Dr , Chesterfield MI 48047-4585. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Newsome, Alyssa can be contacted via phone (586) 228-9991.

Contact Information

Primary practice address
51145 Nicolette Dr Chesterfield MI 48047-4585
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401001104 Michigan

Profile Details

NPI number 1902429061
LBN Legal business name Newsome, Alyssa
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2020
Last updated Jun 8th, 2020 - about 5 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 1902429061 NPPES
Michigan Other 1-20-41662 BEHAVIOR ANALYST CERTIFICATION BOARD

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