Provider Demographics
NPI:1144706151
Name:ALCEUS, ALISHA
Entity type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:
Last Name:ALCEUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S PARK RD APT 1522
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8569
Mailing Address - Country:US
Mailing Address - Phone:678-362-4471
Mailing Address - Fax:
Practice Address - Street 1:720 S PARK RD APT 1522
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8569
Practice Address - Country:US
Practice Address - Phone:678-362-4471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty