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NPI Code Detail

MEDICARE: ADDISON HOVEN

MEDICARE: ADDISON HOVEN
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

General Provider Information

NPI Number : 1265395776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDISON HOVEN
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number : 505-392-3482
Fax Number :
Provider Business Practice Location Address
First Line : 2070 VALLEYDALE RD STE 7
Second Line :
City : HOOVER
State : AL
Zip : 35244-2035
Country : US
Telephone Number : 659-202-6559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ ADDISON HOVEN ” Practice Location

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