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NPI Code Detail

MEDICARE: ALEIGH WARREN

MEDICARE: ALEIGH WARREN
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 TechnicianRBT-19-102576WI
2103K00000XBehavior Analyst1210-140WI

General Provider Information

NPI Number : 1033749247
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEIGH WARREN
Provider Business Mailing Address
First Line : 901 WHALEN RD
Second Line :
City : VERONA
State : WI
Zip : 53593-1765
Country : US
Telephone Number : 855-444-5664
Fax Number :
Provider Business Practice Location Address
First Line : 901 WHALEN RD
Second Line :
City : VERONA
State : WI
Zip : 53593-1765
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 08/08/2024

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Directions to “ ALEIGH WARREN ” Practice Location

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