Provider Demographics
NPI:1528874716
Name:CROSS, ALAINA MAE
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:MAE
Last Name:CROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 W COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:KS
Mailing Address - Zip Code:66413-8655
Mailing Address - Country:US
Mailing Address - Phone:785-580-5406
Mailing Address - Fax:
Practice Address - Street 1:1119 W COLLINS AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:KS
Practice Address - Zip Code:66413-8655
Practice Address - Country:US
Practice Address - Phone:785-580-5406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst