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NPI Code Detail

MEDICARE: RHYAN ALLISON

MEDICARE: RHYAN ALLISON
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
1106S00000XBehavior TechnicianRBT-24-401626IN

General Provider Information

NPI Number : 1053116301
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHYAN ALLISON
Provider Business Mailing Address
First Line : 215 RED COACH DR
Second Line :
City : MISHAWAKA
State : IN
Zip : 46545-8307
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Provider Business Practice Location Address
First Line : 15755 N POINTE BLVD
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-4388
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “ RHYAN ALLISON ” Practice Location

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