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NPI Code Detail

MEDICARE: STEPHEN ALCALA BCBA

MEDICARE: STEPHEN ALCALA 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 Analyst1-13-14687NC

General Provider Information

NPI Number : 1528489481
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN ALCALA BCBA
Provider Business Mailing Address
First Line : 111 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-7903
Country : US
Telephone Number : 919-371-2848
Fax Number :
Provider Business Practice Location Address
First Line : 111 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-7903
Country : US
Telephone Number : 919-371-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 01/29/2015

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Directions to “ STEPHEN ALCALA BCBA” Practice Location

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