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NPI Code Detail

MEDICARE: ALIESHA KNAUER

MEDICARE: ALIESHA KNAUER
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-21-181183OH

General Provider Information

NPI Number : 1275297517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIESHA KNAUER
Provider Business Mailing Address
First Line : 1628 E DOROTHY LN
Second Line :
City : DAYTON
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-365-7455
Fax Number : 937-600-6071
Provider Business Practice Location Address
First Line : 1628 E DOROTHY LN
Second Line :
City : DAYTON
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-365-7455
Fax Number : 937-600-6071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2021
Last Update Date : 10/22/2021

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Directions to “ ALIESHA KNAUER ” Practice Location

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