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NPI Code Detail

MEDICARE: MISS ARIANA BASEL

MEDICARE: MISS ARIANA BASEL
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 : 1164952511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ARIANA BASEL
Provider Business Mailing Address
First Line : 1025 E 54TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-3219
Country : US
Telephone Number : 317-584-5166
Fax Number : 317-288-3396
Provider Business Practice Location Address
First Line : 145 ROSEMARY ST STE K1
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-3259
Country : US
Telephone Number : 781-400-2482
Fax Number : 317-288-3396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 02/10/2020

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Directions to “ MISS ARIANA BASEL ” Practice Location

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