MEDICARE: ALONA COHEN

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790060630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONA COHEN

Provider Business Mailing Address
First Line	:	2011 NE 60TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-2127
Country	:	US
Telephone Number	:	954-830-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 NE 60TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-2127
Country	:	US
Telephone Number	:	954-830-9508
Fax Number	:

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

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	09/21/2020

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Directions to “ ALONA COHEN ” Practice Location

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