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NPI Code Detail

MEDICARE: ALEXIA BEBEN

MEDICARE:   ALEXIA  BEBEN
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 : 1326824087
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIA BEBEN
Provider Business Mailing Address
First Line : 114 CLAYTON RD
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06118-2709
Country : US
Telephone Number : 860-841-1365
Fax Number :
Provider Business Practice Location Address
First Line : 114 CLAYTON RD
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06118-2709
Country : US
Telephone Number : 860-841-1365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 09/07/2023

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Directions to “ ALEXIA BEBEN ” Practice Location

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