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NPI Code Detail

MEDICARE: AMIETTE CHRISTINE BASKERVILLE

MEDICARE: AMIETTE CHRISTINE BASKERVILLE
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 : 1699316463
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIETTE CHRISTINE BASKERVILLE
Provider Business Mailing Address
First Line : 800 N WATTERS RD STE 120
Second Line :
City : ALLEN
State : TX
Zip : 75013-5346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 N WATTERS RD STE 120
Second Line :
City : ALLEN
State : TX
Zip : 75013-5346
Country : US
Telephone Number : 469-804-6494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2019
Last Update Date : 10/03/2019

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Directions to “ AMIETTE CHRISTINE BASKERVILLE ” Practice Location

Language Start Address Practice Location
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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