Provider Demographics
NPI:1659896835
Name:MAY, ALYSON KAY (MS)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:KAY
Last Name:MAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:KAY
Other - Last Name:SCHMIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4152 30TH AVE S STE 102
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4141 31ST AVE S STE 104
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8778
Practice Address - Country:US
Practice Address - Phone:701-364-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician