Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE MARIE BLYTH, MA, LPC, BCBA, LBA
Active Sole ProprietorALICE MARIE BLYTH, MA, LPC, BCBA, LBA is a Behavior Analyst healthcare provider located in RIVERSIDE, Missouri. NPI 1023375045 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · RIVERSIDE, MO
Registration Details
- NPI Number
- 1023375045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2012 (14.350635930946 yrs)
- Last Updated
- Apr 15, 2012
- Licenses
-
2010007552 (MO)2012010600 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3403 N BELTON AVERIVERSIDE, MO, 641509502Browse MO providers · Browse ZIP 64150
- Phone
- 8168634542
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.