Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Douglass, ORT/L

Individual provider Behavior Technician · NPI 1144715731

Alyssa Douglass, ORT/L is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2510 Lake Michigan Dr NW
Grand Rapids, MI 49504-8042
Phone: (616) 259-0408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201011419 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1144715731
Entity typeIndividual (Type 1)
GenderFemale
Credentials ORT/L
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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