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

Alyssa Joy Waldo

Individual provider Behavior Technician · NPI 1083574636

Alyssa Joy Waldo is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 942-2110
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1083574636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address3300 36th St Se, Grand Rapids, MI 49512-2810

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