Wellformed AI

NPI 1902700842 · live from the CMS NPI Registry

Alyssa Lanae Alston

Behavior Analyst in Myrtle Beach, SC. National Provider Identifier 1902700842, active.

NPI record

NPI1902700842 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location400 N Kings Hwy Ste A, Myrtle Beach, SC 29577
Practice phone866-598-4571
Mailing address101 S Tryon St Ste 2700-126, Charlotte, NC 28280
EnumeratedOctober 5, 2026
Last updatedOctober 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.