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NPI Code Detail

MEDICARE: MS. ALYSON MARIE AMSTUTZ BHT

MEDICARE: MS. ALYSON MARIE AMSTUTZ BHT
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1538901194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYSON MARIE AMSTUTZ BHT
Provider Business Mailing Address
First Line : 663 KIENLE AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1845
Country : US
Telephone Number : 614-593-0484
Fax Number :
Provider Business Practice Location Address
First Line : 707 E JENKINS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1318
Country : US
Telephone Number : 380-230-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 06/12/2024

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