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NPI Code Detail

MEDICARE: DVANISHIA ALFORD

MEDICARE: DVANISHIA ALFORD
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 Analyst3026TX
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1184276867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DVANISHIA ALFORD
Provider Business Mailing Address
First Line : 8090 WALNUT RUN RD
Second Line :
City : CORDOVA
State : TN
Zip : 38018-6362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8090 WALNUT RUN RD
Second Line :
City : CORDOVA
State : TN
Zip : 38018-6362
Country : US
Telephone Number : 901-509-8347
Fax Number : 855-430-0596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2019
Last Update Date : 12/30/2025

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Directions to “ DVANISHIA ALFORD ” Practice Location

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