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NPI Code Detail

MEDICARE: AISHA JOYNER

MEDICARE:   AISHA  JOYNER
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 Analyst

General Provider Information

NPI Number : 1548798796
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA JOYNER
Provider Business Mailing Address
First Line : 2854 N KEDZIE AVE UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60618-7602
Country : US
Telephone Number : 225-224-9710
Fax Number :
Provider Business Practice Location Address
First Line : 3100 S CENTRAL AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-3956
Country : US
Telephone Number : 225-224-9710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 06/01/2017

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Directions to “ AISHA JOYNER ” Practice Location

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