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NPI Code Detail

MEDICARE: MS. AMY LYNN BAILEY M.A., BCBA, COBA

MEDICARE:  MS. AMY LYNN BAILEY  M.A., BCBA, COBA
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
1171M00000XCase Manager/Care Coordinator
2103K00000XBehavior Analyst1-06-2805OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033441605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY LYNN BAILEY M.A., BCBA, COBA
Provider Business Mailing Address
First Line : 4861 DUCK CREEK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1421
Country : US
Telephone Number : 513-832-2884
Fax Number : 513-351-1780
Provider Business Practice Location Address
First Line : 4861 DUCK CREEK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1421
Country : US
Telephone Number : 513-832-2884
Fax Number : 513-351-1780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 11/03/2021

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