IndividualActive
Alyssa Black, COTA
NPI 1417322611 · Community Health Worker · Cedar Park, TX
Provider details
- NPI number
- 1417322611
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 209841 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
2200 S Lakeline Blvd
Cedar Park, TX 78613-4567
Phone: (512) 219-0200
Approximate (ZIP-level) locationGet directions
Mailing address
2200 S Lakeline Blvd
Cedar Park, TX 78613-4567
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2015-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.