MEDICARE: ALISON J FINITZER M.S.ED, BCBA

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	1-11-9406	MA

General Provider Information

NPI Number	:	1174893903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON J FINITZER M.S.ED, BCBA

Provider Business Mailing Address
First Line	:	343 W 4TH ST # 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02127-2618
Country	:	US
Telephone Number	:	530-632-7472
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CUMMINGS CTR STE 157J
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-6135
Country	:	US
Telephone Number	:	530-632-7472
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	01/10/2012

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