Provider Demographics
NPI:1457150070
Name:BEHRENS, ALICIA BETH
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:BETH
Last Name:BEHRENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 E 244TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1484
Mailing Address - Country:US
Mailing Address - Phone:216-387-6564
Mailing Address - Fax:
Practice Address - Street 1:280 E 244TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1484
Practice Address - Country:US
Practice Address - Phone:216-387-6564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty