IndividualActive
Alyse Etheridge
NPI 1174418040 · Behavior Technician · Chesterfield, MI
Provider details
- NPI number
- 1174418040
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
51145 Nicolette Dr
Chesterfield, MI 48047-4585
Phone: (586) 228-9991
Approximate (ZIP-level) locationGet directions
Mailing address
51145 Nicolette Dr
Chesterfield, MI 48047-4585
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.