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NPI Code Detail

MEDICARE: AMBER ALLRED

MEDICARE:   AMBER  ALLRED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101YP2500XProfessional Counselor77850CA

General Provider Information

NPI Number : 1003232869
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ALLRED
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1835 PARK AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1629
Country : US
Telephone Number : 408-885-0805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 06/12/2026

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Directions to “ AMBER ALLRED ” Practice Location

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