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NPI Code Detail

MEDICARE: ALYSSA JOY AKRE RBT

MEDICARE: ALYSSA JOY AKRE RBT
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
1106E00000XAssistant Behavior AnalystAZ

General Provider Information

NPI Number : 1336649540
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA JOY AKRE RBT
Provider Business Mailing Address
First Line : 17239 N 19TH AVE APT 2081
Second Line :
City : PHOENIX
State : AZ
Zip : 85023-2436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20860 N TATUM BLVD STE 300
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4283
Country : US
Telephone Number : 866-342-8847
Fax Number : 866-342-8847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 02/14/2018

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Directions to “ ALYSSA JOY AKRE RBT” Practice Location

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