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NPI Code Detail

MEDICARE: ALESHA ANDERSON RBT

MEDICARE: ALESHA ANDERSON RBT
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-21-171221CO

General Provider Information

NPI Number : 1033786603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESHA ANDERSON RBT
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 18737 E HAMPDEN AVE
Second Line :
City : AURORA
State : CO
Zip : 80013-3557
Country : US
Telephone Number : 303-656-2213
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 06/10/2021

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