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NPI Code Detail

MEDICARE: ALLISON MCNETT RBT

MEDICARE: ALLISON MCNETT 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-17-43871WI

General Provider Information

NPI Number : 1043705437
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MCNETT RBT
Provider Business Mailing Address
First Line : 1161 LAKE COOK RD
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-5649
Country : US
Telephone Number : 847-498-5437
Fax Number : 847-498-5438
Provider Business Practice Location Address
First Line : 3113 W BELTLINE HWY STE 300
Second Line :
City : MADISON
State : WI
Zip : 53713-2934
Country : US
Telephone Number : 608-819-6810
Fax Number : 608-819-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 06/27/2018

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