Alice Marie Blyth, MA, LPC, BCBA, LBA is a
Behavior Analyst based in Riverside, Missouri. Alice Marie Blyth is licensed to practice in Missouri (license number 2012010600) and her current practice location is
3403 N Belton Ave, Riverside, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 863-4542.
NPI number for Alice Marie Blyth is 1023375045 and her current mailing address is 3403 N Belton Ave, Riverside, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023375045.
Healthcare Provider's Profile
Full Name | Alice Marie Blyth |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 3403 N Belton Ave, Riverside, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023375045
- Provider Enumeration Date: 04/15/2012
- Last Update Date: 04/15/2012
Medical Identifiers
Medical identifiers for Alice Marie Blyth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023375045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2010007552 (Missouri) | Secondary |
103K00000X | Behavior Analyst | 2012010600 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Marie Blyth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alice Marie Blyth, MA, LPC, BCBA, LBA 3403 N Belton Ave, Riverside, MO 64150-9502 Ph: (816) 863-4542 | Alice Marie Blyth, MA, LPC, BCBA, LBA 3403 N Belton Ave, Riverside, MO 64150-9502 Ph: (816) 863-4542 |
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