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NPI Code Detail

MEDICARE: ALLISON DRAKE BERNSTEIN

MEDICARE: ALLISON DRAKE BERNSTEIN
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 Analyst

General Provider Information

NPI Number : 1104217108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DRAKE BERNSTEIN
Provider Business Mailing Address
First Line : 1215 HIGHTOWER TRL BLDG B
Second Line :
City : ATLANTA
State : GA
Zip : 30350-6244
Country : US
Telephone Number : 770-355-3370
Fax Number :
Provider Business Practice Location Address
First Line : 1215 HIGHTOWER TRL BLDG B
Second Line :
City : ATLANTA
State : GA
Zip : 30350-6244
Country : US
Telephone Number : 770-355-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 12/20/2018

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Directions to “ ALLISON DRAKE BERNSTEIN ” Practice Location

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