Devalk, Alyssa

Devalk, Alyssa is an individual health care provider with primary practice located at 1500 N Casaloma Dr Ste 306 , Appleton WI 54913-8220. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Devalk, Alyssa can be contacted via phone (920) 205-0475.

Contact Information

Primary practice address
1500 N Casaloma Dr Ste 306 Appleton WI 54913-8220
Phone: (920) 205-0475
Fax: (920) 486-6240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 478-140 Wisconsin

Profile Details

NPI number 1205545613
LBN Legal business name Devalk, Alyssa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - 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 1205545613 NPPES
Wisconsin MEDICAID 100056956

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