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NPI Code Detail

MEDICARE: ANNA BENTLEY

MEDICARE: ANNA BENTLEY
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
1103K00000XBehavior Analyst1758TX
2103K00000XBehavior Analyst1-17-25667TX

General Provider Information

NPI Number : 1063944304
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA BENTLEY
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 425-491-7683
Provider Business Practice Location Address
First Line : 3017 MEDLIN DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2336
Country : US
Telephone Number : 817-752-4945
Fax Number : 817-977-5466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 12/14/2023

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Directions to “ ANNA BENTLEY ” Practice Location

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