Individual ProviderAlyssa DevalkBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1500 N Casaloma Dr Ste 306, Appleton, WI 54913-8220(920) 205-0475PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Devalk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205545613Provider TypeIndividualFull NameDevalk, AlyssaCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date11/15/2022Last Updated11/15/2022Contact InformationPractice LocationPractice Address1500 N Casaloma Dr Ste 306, Appleton, WI 54913-8220Phone(920) 205-0475Fax(920) 486-6240Mailing LocationMailing Address1995 Dreamfield Ln, Menasha, WI 54952-9477PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense478-140WisconsinProvider IdentifiersIDDescriptionIssuerID100056956DescriptionMedicaidIssuerUnlistedWisconsin