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NPI Code Detail

MEDICARE: ALISON BRYANT

MEDICARE: ALISON BRYANT
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 Analyst1-21-47720TX

General Provider Information

NPI Number : 1740779099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON BRYANT
Provider Business Mailing Address
First Line : 11820 CYPRESS CORNER LN
Second Line :
City : HOUSTON
State : TX
Zip : 77065-1132
Country : US
Telephone Number : 281-894-1423
Fax Number :
Provider Business Practice Location Address
First Line : 23000 HIGHLAND KNOLLS BLVD STE 100
Second Line :
City : KATY
State : TX
Zip : 77494-8341
Country : US
Telephone Number : 713-929-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 05/28/2021

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