Provider Demographics
NPI:1982493680
Name:MCINTOSH, ALLIYAH KAI
Entity type:Individual
Prefix:
First Name:ALLIYAH
Middle Name:KAI
Last Name:MCINTOSH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2008
Mailing Address - Country:US
Mailing Address - Phone:716-882-0555
Mailing Address - Fax:
Practice Address - Street 1:844 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2008
Practice Address - Country:US
Practice Address - Phone:716-882-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst