IndividualActive
Alyssa Phares
NPI 1245062629 · Behavior Technician · Broken Arrow, OK
Provider details
- NPI number
- 1245062629
- 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
2208 W Detroit St
Broken Arrow, OK 74012-3629
Phone: (918) 900-6237
Approximate (ZIP-level) locationGet directions
Mailing address
2208 W Detroit St
Broken Arrow, OK 74012-3629
Registry dates
- Enumerated
- 2024-08-15
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.