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NPI Code Detail

MEDICARE: ALORA GABRIELLE NORRIS

MEDICARE:   ALORA GABRIELLE NORRIS
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 Technician

General Provider Information

NPI Number : 1134936339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALORA GABRIELLE NORRIS
Provider Business Mailing Address
First Line : 1605 S WAYNE ST
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2194
Country : US
Telephone Number : 260-243-4720
Fax Number :
Provider Business Practice Location Address
First Line : 1605 S WAYNE ST
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2194
Country : US
Telephone Number : 260-243-4720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 12/12/2024

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Directions to “ ALORA GABRIELLE NORRIS ” Practice Location

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