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NPI Code Detail

MEDICARE: ALLISON ASHE

MEDICARE: ALLISON ASHE
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
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1326528878
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ASHE
Provider Business Mailing Address
First Line : 1910 HINKLE ST SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-4835
Country : US
Telephone Number : 505-426-6955
Fax Number :
Provider Business Practice Location Address
First Line : 3939 SAN PEDRO DR NE BLDG B1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-8903
Country : US
Telephone Number : 505-426-6955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 10/08/2024

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Directions to “ ALLISON ASHE ” Practice Location

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