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NPI Code Detail

MEDICARE: ALLYSON MICHELE BESTAFKA

MEDICARE: ALLYSON MICHELE BESTAFKA
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 : 1356186381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON MICHELE BESTAFKA
Provider Business Mailing Address
First Line : 1601 STRATEGY WAY
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-6131
Country : US
Telephone Number : 919-610-6461
Fax Number :
Provider Business Practice Location Address
First Line : 8504 DARTON WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27616-9316
Country : US
Telephone Number : 919-341-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2024
Last Update Date : 07/01/2024

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Directions to “ ALLYSON MICHELE BESTAFKA ” Practice Location

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