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NPI Code Detail

MEDICARE: ALISSA M BATISTA

MEDICARE:   ALISSA M BATISTA
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 TechnicianBACB1076059TX

General Provider Information

NPI Number : 1043061294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA M BATISTA
Provider Business Mailing Address
First Line : 3740 TIERRA AURORA DR
Second Line :
City : EL PASO
State : TX
Zip : 79938-4324
Country : US
Telephone Number : 915-261-5177
Fax Number :
Provider Business Practice Location Address
First Line : 3740 TIERRA AURORA DR
Second Line :
City : EL PASO
State : TX
Zip : 79938-4324
Country : US
Telephone Number : 915-261-5177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 03/27/2024

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Directions to “ ALISSA M BATISTA ” Practice Location

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