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NPI Code Detail

MEDICARE: ALYSON JANELL BURKHART BCBA

MEDICARE:   ALYSON JANELL BURKHART  BCBA
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 AnalystKS
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740523745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON JANELL BURKHART BCBA
Provider Business Mailing 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 : 620-792-4685
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 : 620-792-4685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2013
Last Update Date : 05/19/2021

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Directions to “ ALYSON JANELL BURKHART BCBA” Practice Location

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