Provider Demographics
NPI:1518840644
Name:REPASKY, ALYSON TAYLOR
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:TAYLOR
Last Name:REPASKY
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 1:5794 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-8859
Mailing Address - Country:US
Mailing Address - Phone:740-260-4305
Mailing Address - Fax:
Practice Address - Street 1:1 HALLORAN DRIVE
Practice Address - Street 2:
Practice Address - City:ST CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950
Practice Address - Country:US
Practice Address - Phone:574-374-0296
Practice Address - Fax:740-296-5952
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician