MEDICARE: AIONYEA BELL

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
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0718	OTHER	TX	WORK

General Provider Information

NPI Number	:	1093325896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIONYEA BELL

Provider Business Mailing Address
First Line	:	2803 RIVERSIDE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-7820
Country	:	US
Telephone Number	:	314-513-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	2803 RIVERSIDE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-7820
Country	:	US
Telephone Number	:	314-513-2927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	08/06/2020

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Directions to “ AIONYEA BELL ” Practice Location

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