Provider Demographics
NPI:1730723826
Name:BECKER, ALYANA ROSE (OTR/L)
Entity type:Individual
Prefix:
First Name:ALYANA
Middle Name:ROSE
Last Name:BECKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRYANT CRES APT 2D
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2634
Mailing Address - Country:US
Mailing Address - Phone:917-612-6652
Mailing Address - Fax:
Practice Address - Street 1:7 BRYANT CRES APT 2D
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2634
Practice Address - Country:US
Practice Address - Phone:917-612-6652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024108-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist