Lidard, Alyssa
Lidard, Alyssa is an individual health care provider with primary practice located at 2288 Blue Water Blvd Ste 310 , Odenton MD 21113-3301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Lidard, Alyssa can be contacted via phone (410) 874-7338.Contact Information
Primary practice address
2288 Blue Water Blvd Ste 310
Odenton MD 21113-3301
Phone: (410) 874-7338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1477044139 |
|---|---|
| LBN Legal business name | Lidard, Alyssa |
| Credentials | BT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2018 |
| Last updated | Jan 19th, 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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