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NPI Code Detail

MEDICARE: ELIZABETH ANN HAND RBT, BCBA

MEDICARE: ELIZABETH ANN HAND RBT, 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
1103K00000XBehavior Analyst1-24-75265NM

General Provider Information

NPI Number : 1306368873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN HAND RBT, BCBA
Provider Business Mailing Address
First Line : 6201 ALTA MONTE AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-2101
Country : US
Telephone Number : 404-780-3242
Fax Number :
Provider Business Practice Location Address
First Line : 3621 MARION LN
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7579
Country : US
Telephone Number : 404-780-3242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2017
Last Update Date : 03/26/2026

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