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NPI Code Detail

MEDICARE: ALLISON ADAMS

MEDICARE: ALLISON ADAMS
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 Analyst

General Provider Information

NPI Number : 1295368009
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ADAMS
Provider Business Mailing Address
First Line : 1312 PATTON RD
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1312 PATTON RD
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3120
Country : US
Telephone Number : 620-792-4087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2020
Last Update Date : 02/20/2020

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Directions to “ ALLISON ADAMS ” Practice Location

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