Provider Demographics
NPI:1457644528
Name:SLATERPRYCE, ALINA (BCBA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:SLATERPRYCE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 POSSUM PASS
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-2227
Mailing Address - Country:US
Mailing Address - Phone:561-714-7278
Mailing Address - Fax:
Practice Address - Street 1:160 POSSUM PASS
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-2227
Practice Address - Country:US
Practice Address - Phone:561-714-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1073722103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst