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NPI Code Detail

MEDICARE: MS. AYSSA LEIGH ALTAHIF BCBA

MEDICARE: MS. AYSSA LEIGH ALTAHIF BCBA
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 Analyst1-1518956TX

General Provider Information

NPI Number : 1043696347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AYSSA LEIGH ALTAHIF BCBA
Provider Business Mailing Address
First Line : 9314 RYDER DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2000
Country : US
Telephone Number : 210-447-0039
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 9314 RYDER DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2000
Country : US
Telephone Number : 210-447-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2015
Last Update Date : 04/04/2022

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