IndividualActive
Alaysa Mixon
NPI 1780357681 · Behavior Technician · Plymouth, MI
Provider details
- NPI number
- 1780357681
- 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
44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Phone: (313) 278-4601
Approximate (ZIP-level) locationGet directions
Mailing address
44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.