MEDICARE: ALLISON YOELIN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1356971311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON YOELIN

Provider Business Mailing Address
First Line	:	1000 S BROADWAY APT 128
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4057
Country	:	US
Telephone Number	:	847-306-9843
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 S BROADWAY APT 128
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4057
Country	:	US
Telephone Number	:	847-306-9843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2020
Last Update Date	:	01/18/2020

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Directions to “ ALLISON YOELIN ” Practice Location

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