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NPI Code Detail

MEDICARE: ALIZA MARIE SALAS

MEDICARE: ALIZA MARIE SALAS
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 TechnicianTX

General Provider Information

NPI Number : 1053260885
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIZA MARIE SALAS
Provider Business Mailing Address
First Line : 1801 WELLS BRANCH PKWY APT 1016
Second Line :
City : AUSTIN
State : TX
Zip : 78728-6915
Country : US
Telephone Number :
Fax Number : 726-999-7798
Provider Business Practice Location Address
First Line : 3737 EXECUTIVE CENTER DR STE 255
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1633
Country : US
Telephone Number : 151-234-0017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ ALIZA MARIE SALAS ” Practice Location

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