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NPI Code Detail

MEDICARE: ALICIA BOTHWELL

MEDICARE: ALICIA BOTHWELL
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 AnalystAZ
2106S00000XBehavior TechnicianAZ
3106E00000XAssistant Behavior AnalystAZ

General Provider Information

NPI Number : 1437829330
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA BOTHWELL
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 310 N WILMOT RD STE 306
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2628
Country : US
Telephone Number : 520-526-0052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 02/16/2026

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Directions to “ ALICIA BOTHWELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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