Provider Demographics
NPI:1164017000
Name:BELL, ALYSSA
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:BELL
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:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:COMMERCIAL POINT
Mailing Address - State:OH
Mailing Address - Zip Code:43116-0156
Mailing Address - Country:US
Mailing Address - Phone:614-735-6925
Mailing Address - Fax:614-953-0771
Practice Address - Street 1:3296 WESTERVILLE RD UNIT 469
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3790
Practice Address - Country:US
Practice Address - Phone:614-735-6925
Practice Address - Fax:614-953-0771
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-21-48699103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst