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NPI Code Detail

MEDICARE: ALEXIS PAIGE HAMILTON BA, HS

MEDICARE: ALEXIS PAIGE HAMILTON BA, HS
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 Technician
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1164167011
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS PAIGE HAMILTON BA, HS
Provider Business Mailing Address
First Line : 3321 TULANE AVE # 3303-3
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-7139
Country : US
Telephone Number : 504-302-1323
Fax Number :
Provider Business Practice Location Address
First Line : 3321 TULANE AVE # 3303-3
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-7139
Country : US
Telephone Number : 504-302-1323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 04/20/2023

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